Provider Demographics
NPI:1427196641
Name:VARGHESE, SAJINI (DO)
Entity Type:Individual
Prefix:MRS
First Name:SAJINI
Middle Name:
Last Name:VARGHESE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9B WINDSOR CIR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-1467
Mailing Address - Country:US
Mailing Address - Phone:302-366-1981
Mailing Address - Fax:
Practice Address - Street 1:500 S PENNSVILLE AUBURN RD
Practice Address - Street 2:
Practice Address - City:CARNEYS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08069-2936
Practice Address - Country:US
Practice Address - Phone:856-299-3200
Practice Address - Fax:856-299-7183
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC2-00091342084P0800X
NJ25MB080161002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry