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General NPI Number Information
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NPI Number | 1346475506
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Entity Type | Individual
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Provider Name | SHIBU VARUGHESE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1151 BARATARIA BLVD STE 3400
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City | MARRERO
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State | LA
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Zip | 70072-3083
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Country | US
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Telephone | 504-265-8304
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Fax | 504-309-4193
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Provider Business Mailing Address
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Address Line | 1151 BARATARIA BLVD STE 3400
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City | MARRERO
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State | LA
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Zip | 70072-3083
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Country | US
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Telephone | 504-265-8304
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Fax | 504-309-4193
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD203694
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS31922
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | MD203694
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | ME171498
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | MD203694
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License Number State | LA
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD.203694
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License Number State | LA
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