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NPI Code Detail

MEDICARE: DR. LINDA DSOUZA VARGHESE M.D.

MEDICARE: DR. LINDA DSOUZA VARGHESE M.D.
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
1207L00000XAnesthesiology Physician60216WI
2207LC0200XCritical Care Medicine (Anesthesiology) Physician60216WI

General Provider Information

NPI Number : 1265625362
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA DSOUZA VARGHESE M.D.
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 HIGHLAND AVE
Second Line : B6/319 CSC 3272
City : MADISON
State : WI
Zip : 53792-0001
Country : US
Telephone Number : 608-263-8100
Fax Number : 608-263-0575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2007
Last Update Date : 06/19/2013

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