Healthcare Provider Details

I. General information

NPI: 1629356084
Provider Name (Legal Business Name): ARTUR VARGAS VIANA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2011
Last Update Date: 09/07/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 ATLANTIC AVE FL 4
BROOKLYN NY
11201-5501
US

IV. Provider business mailing address

14 WALL ST FL 9
NEW YORK NY
10005-2178
US

V. Phone/Fax

Practice location:
  • Phone: 929-455-2500
  • Fax: 929-455-2550
Mailing address:
  • Phone: 646-501-3229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number324290
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: