Jacob Alex Mathe Varghese in Portland - Pediatrics

Jacob Alex Mathe Varghese - NPI 1922196013

Jacob Alex Mathe Varghese is a Pediatrics in Portland, Oregon. Jacob Alex Mathe Varghese practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jacob Alex Mathe Varghese is 1922196013. The last update date is 2021-04-23.

Jacob Alex Mathe Varghese's current location address is Po Box 3360, Portland, Oregon. You can contact this provider via phone number 8663662983. The mailing address for Jacob Alex Mathe Varghese is Po Box 3360, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacob Alex Mathe Varghese
Address Po Box 3360, Portland, Oregon
Phone Number 8663662983
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1922196013
Provider Enumeration Date 2006-10-11
Last Updated Date 2021-04-23

Provider Mailing Address Detail

Address Po Box 3360
City Portland
State Oregon (OR)
Post Code 972083360
Phone Number 8663662983
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No MD419174
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
942854057014 UT --
942854058940 UT --

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FAQs about Jacob Alex Mathe Varghese

What is the unique identifier code issued to Jacob Alex Mathe Varghese by the Centers for Medicare & Medicaid Services?

The Jacob Alex Mathe Varghese has been assigned the NPI (National Provider Identifier) 1922196013. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jacob Alex Mathe Varghese is physically located?

The Jacob Alex Mathe Varghese is situated at the following address: Po Box 3360, Portland, OR 972083360.

What is Jacob Alex Mathe Varghese's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jacob Alex Mathe Varghese is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

On what date did the Jacob Alex Mathe Varghese receive its 1922196013 assignment from the Centers for Medicare & Medicaid Services?

The Jacob Alex Mathe Varghese was assigned its 1922196013 by the Centers for Medicare & Medicaid Services on 2006-10-11.

As of what date were the Jacob Alex Mathe Varghese's details last updated?

The information pertaining to the Jacob Alex Mathe Varghese, including its address, specialty, and other details, was most recently updated on 2021-04-23.

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