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General NPI Number Information
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NPI Number | 1164524286
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Entity Type | Individual
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Provider Name | GEORGE VARGHESE M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3901 RAINBOW BLVD G018 MURPHY MAILSTOP 1046
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City | KANSAS CITY
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State | KS
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Zip | 66160-0001
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Country | US
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Telephone | 913-588-6944
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Fax | 913-588-6765
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Provider Business Mailing Address
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Address Line | 3901 RAINBOW BLVD 4017 DELP
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City | KANSAS CITY
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State | KS
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Zip | 66160-0001
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Country | US
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Telephone | 913-588-6944
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Fax | 913-588-6765
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 04-17093
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License Number State | KS
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