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NPI Code Detail

MEDICARE: CHERYL P VARGAS M.D.

MEDICARE:   CHERYL P VARGAS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician01052952IN
2207QA0401XAddiction Medicine (Family Medicine) Physician35.072663OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000175319OTHERINBLUE SHIELD - REID HOSP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326145137
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL P VARGAS M.D.
Provider Business Mailing Address
First Line : 446 MORGAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-2348
Country : US
Telephone Number : 513-834-7063
Fax Number : 513-873-1567
Provider Business Practice Location Address
First Line : 8120 GARNET DR
Second Line :
City : DAYTON
State : OH
Zip : 45458-2141
Country : US
Telephone Number : 513-834-7063
Fax Number : 513-873-1567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 12/21/2018

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Directions to “ CHERYL P VARGAS M.D.” Practice Location

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