Individual
TONY VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
821 N EUTAW STREET, SUITE 308, BALTIMORE, ME 21201
(410) 383-2072
(410) 669-6067
Mailing address
821 N EUTAW STREET, SUITE 308, BALTIMORE, ME 21201
(410) 383-2072
(410) 669-6067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0064559
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
901901400
—
MD
01
—
KAN7SH
BCBS
—
Enumeration date
12/12/2006
Last updated
03/09/2010
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