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CHARLES VARGHESE M D NPI 1598154890


NPI Information

NPI: 1598154890
Provider Name: CHARLES VARGHESE M D
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
782 SW SISTERS WELCOME RD
LAKE CITY, FL
ZIP 32025
Phone: (386) 755-4518
Get Directions

CHARLES VARGHESE M D is a medical specialty clinic center in Lake City, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). CHARLES VARGHESE M D NPI is 1598154890. The provider is registered as an organization entity type.

The provider's business location address is:

782 SW SISTERS WELCOME RD
LAKE CITY, FL
ZIP 32025-442
Phone: (386) 755-4518
Fax: (386) 758-4500

The provider's authorized official is Sherly J Varghese .
The authorized official title is Office Manager and has the following contact phone number (386) 209-5518.

The enumeration date for this NPI number is 1/10/2015 and was last updated on 1/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyME67182FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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