Basic Information
| Provider Information | |||||||||
| NPI: | 1225345994 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VARGHESE | ||||||||
| FirstName: | ROBIN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.B.B.S, MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 S HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | MURPHYSBORO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 629663333 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6186843156 | ||||||||
| FaxNumber: | 6186841040 | ||||||||
| Practice Location | |||||||||
| Address1: | 2 S HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | MURPHYSBORO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 629663333 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6186843156 | ||||||||
| FaxNumber: | 6186841040 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/01/2010 | ||||||||
| LastUpdateDate: | 03/11/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1744R1102X | N | Other Service Providers | Specialist | Research Study | 207R00000X | 036.135858 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 036.135858 | IL | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.