Basic Information
| Provider Information | |||||||||
| NPI: | 1629139928 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VARGHESE | ||||||||
| FirstName: | FLORA | ||||||||
| MiddleName: | POIKAYIL | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 481 PLUMAS BLVD STE 202 | ||||||||
| Address2: | |||||||||
| City: | YUBA CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959915075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5307492409 | ||||||||
| FaxNumber: | 5307514793 | ||||||||
| Practice Location | |||||||||
| Address1: | 481 PLUMAS BLVD STE 202 | ||||||||
| Address2: | |||||||||
| City: | YUBA CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959915075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5307492409 | ||||||||
| FaxNumber: | 5307514793 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2006 | ||||||||
| LastUpdateDate: | 10/15/2019 | ||||||||
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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 | 208600000X | A149629 | CA | Y | Allopathic & Osteopathic Physicians | Surgery | 208600000X | M6930 | TX | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | BP10024434 | TX | N | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.