Individual
LIZA R VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2616 LEGENDS WAY, CRESTVIEW HILLS, KY 41017-2418
(859) 331-3100
(859) 331-9147
Mailing address
2616 LEGENDS WAY, CRESTVIEW HILLS, KY 41017-2418
(859) 331-3100
(859) 331-9147
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
35303
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64037039
—
KY
01
—
660003446
RR MEDICARE
KY
Enumeration date
06/15/2005
Last updated
10/08/2013
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