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NPI Code Detail

MEDICARE: DR. JALAL FARHANG VARGHA D.O.

MEDICARE: DR. JALAL FARHANG VARGHA D.O.
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
1207RC0000XCardiovascular Disease Physician20A24552CA
2207RC0000XCardiovascular Disease Physician2477NE
3390200000XStudent in an Organized Health Care Education/Training ProgramIL

General Provider Information

NPI Number : 1639599467
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JALAL FARHANG VARGHA D.O.
Provider Business Mailing Address
First Line : 7500 MERCY RD
Second Line :
City : OMAHA
State : NE
Zip : 68124-2319
Country : US
Telephone Number : 816-390-6806
Fax Number :
Provider Business Practice Location Address
First Line : 7500 MERCY RD
Second Line :
City : OMAHA
State : NE
Zip : 68124-2319
Country : US
Telephone Number : 816-390-6806
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2014
Last Update Date : 01/23/2026

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