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General NPI Number Information
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NPI Number | 1992858567
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Entity Type | Individual
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Provider Name | DR. PRAYMOL VARGHESE
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 8929 SHADY GROVE CT
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1308
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Country | US
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Telephone | 301-990-6653
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Fax | 301-977-5930
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Provider Business Mailing Address
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Address Line | 13128 BRUSHWOOD WAY
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City | POTOMAC
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State | MD
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Zip | 20854-1025
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Country | US
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Telephone | 301-990-6653
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Fax | 301-977-5930
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0028182
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License Number State | MD
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