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Individual

DR. PRAYMOL VARGHESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8929 SHADY GROVE CT, GAITHERSBURG, MD 20877-1308
(301) 990-6653
(301) 977-5930
Mailing address
13128 BRUSHWOOD WAY, POTOMAC, MD 20854-1025
(301) 990-6653
(301) 977-5930

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0028182
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
222721500
MD
01
453357
MAMSI
MD
01
53407706
BLUE CROSS BLUE SHIELD
MD
Enumeration date
01/18/2007
Last updated
06/03/2008
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