Provider Demographics
NPI:1477719474
Name:VARGO, NEETA MODY (MD)
Entity Type:Individual
Prefix:
First Name:NEETA
Middle Name:MODY
Last Name:VARGO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11995 SINGLETREE LN
Mailing Address - Street 2:SUITE 500
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-5347
Mailing Address - Country:US
Mailing Address - Phone:952-595-1301
Mailing Address - Fax:612-294-4903
Practice Address - Street 1:11995 SINGLETREE LN
Practice Address - Street 2:SUITE 500
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-5347
Practice Address - Country:US
Practice Address - Phone:952-595-1301
Practice Address - Fax:612-294-4903
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2024-03-12
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Provider Licenses
StateLicense IDTaxonomies
CAA1104432085R0202X
CAALL04432085R0202X
CODR-482412085R0202X
CT475722085R0202X
FLME1042762085R0202X
GA0624462085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology