Basic Information
| Provider Information | |||||||||
| NPI: | 1225357726 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VARGHESE | ||||||||
| FirstName: | GEETA | ||||||||
| MiddleName: | ANU | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 160 W 16TH ST | ||||||||
| Address2: | 2G | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100116285 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2128448100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10 UNION SQ E | ||||||||
| Address2: | 3J | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100033314 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2128448100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2010 | ||||||||
| LastUpdateDate: | 03/08/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 271335 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.