Basic Information
Provider Information
NPI: 1366750630
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VARGHESE
FirstName: ROHIT
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7324 SOUTHWEST FREEWAY, ARENA #2
Address2: 972
City: HOUSTON
State: TX
PostalCode: 77074
CountryCode: US
TelephoneNumber: 7139809590
FaxNumber: 7139809594
Practice Location
Address1: 1401 ST. JOSEPH PARKWAY
Address2:  
City: HOUSTON
State: TX
PostalCode: 77002
CountryCode: US
TelephoneNumber: 7137568537
FaxNumber: 7137568538
Other Information
ProviderEnumerationDate: 09/20/2010
LastUpdateDate: 02/18/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD443326PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XP9271TXY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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