Doctor Name: | DR. ROBIN VARGHESE |
NPI Number: | 1225345994 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.B.B.S |
License Number: | |
Business Practice Address: | 2 S Hospital Dr Murphysboro, IL - 629663333 |
Business Phone Number: | 6186843156 |
Business Fax Number: | 6185290522 |
Mailing Address: | Po Box 1105, INDIANAPOLIS |
State: | IN |
Postal Code: | 462061105 |
Phone Number: | 6184575200 |
Fax Number: | 6183516486 |
NPI Enumeration Date: | 09/01/2010 |
NPI Last Update Date: | 08/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744R1102X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Research Study |
Taxonomy Definition: |