Healthcare Provider Details
I. General information
NPI: 1194954776
Provider Name (Legal Business Name): JOEL VARGHESE FINNY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/05/2009
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8901 ROCKVILLE PIKE
BETHESDA MD
20889-0001
US
IV. Provider business mailing address
8901 ROCKVILLE PIKE
BETHESDA MD
20889-0001
US
V. Phone/Fax
- Phone: 301-295-0196
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 0101248022 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: