Varghese, Mathew Sam
Varghese, Mathew Sam is an individual health care provider with primary practice located at 4420 Lake Boone Trl , Raleigh NC 27607-7505. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Varghese, Mathew Sam can be contacted via phone (919) 784-3115.Contact Information
Primary practice address
4420 Lake Boone Trl
Raleigh NC 27607-7505
Phone: (919) 784-3115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 262450 | North Carolina |
Profile Details
| NPI number | 1184019036 |
|---|---|
| LBN Legal business name | Varghese, Mathew Sam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2015 |
| Last updated | Mar 31st, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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