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Contact Information

EBBY G VARGHESE, MD
3211 S PROVIDENCE RD
BLDG. C
COLUMBIA, MO65203-3644
 Phone: 573-884-7100
 Fax: 573-884-7706
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for EBBY G VARGHESE · (Male)

NPI Number 1639200942
Status Active
Credentials MD
Entity Individual
Enumeration date 03/08/2007
Last updated 09/12/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2005021816
  • MO Medicaid 204463202
Hospital affiliation(s)
  • UNIVERSITY OF MISSOURI HEALTH CARE - (Acute Care)
    ONE HOSPITAL DRIVE, ROOM CE121, DC031,00
    COLUMBIA, MO 65212
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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