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NPI Code Detail

MEDICARE: BEENA KOVOOR VARUGHESE MD

MEDICARE:   BEENA KOVOOR VARUGHESE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician23066SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013052539
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEENA KOVOOR VARUGHESE MD
Provider Business Mailing Address
First Line : 40 PINNACLE PKWY
Second Line : SUITE 212
City : ELGIN
State : SC
Zip : 29045-8390
Country : US
Telephone Number : 803-424-5161
Fax Number : 803-424-5795
Provider Business Practice Location Address
First Line : 40 PINNACLE PKWY
Second Line : SUITE 212
City : ELGIN
State : SC
Zip : 29045-8390
Country : US
Telephone Number : 803-424-5161
Fax Number : 803-424-5795
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 04/08/2016

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Directions to “ BEENA KOVOOR VARUGHESE MD” Practice Location

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