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NPI Code Detail

MEDICARE: DR. SHIBU VARUGHESE M.D.

MEDICARE: DR. SHIBU VARUGHESE 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
1207RH0003XHematology & Oncology PhysicianMD203694LA
2183500000XPharmacistPS31922FL
3207RH0002XHospice and Palliative Medicine (Internal Medicine) PhysicianMD203694LA
4207RG0300XGeriatric Medicine (Internal Medicine) PhysicianME171498FL
5207RG0300XGeriatric Medicine (Internal Medicine) PhysicianMD203694LA
6207R00000XInternal Medicine PhysicianMD.203694LA

General Provider Information

NPI Number : 1346475506
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHIBU VARUGHESE M.D.
Provider Business Mailing Address
First Line : 1151 BARATARIA BLVD STE 3400
Second Line :
City : MARRERO
State : LA
Zip : 70072-3083
Country : US
Telephone Number : 504-265-8304
Fax Number : 504-309-4193
Provider Business Practice Location Address
First Line : 1151 BARATARIA BLVD STE 3400
Second Line :
City : MARRERO
State : LA
Zip : 70072-3083
Country : US
Telephone Number : 504-265-8304
Fax Number : 504-309-4193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2009
Last Update Date : 10/21/2025

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Directions to “ DR. SHIBU VARUGHESE M.D.” Practice Location

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