Provider Demographics
NPI:1629356084
Name:VARGAS VIANA, ARTUR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTUR
Middle Name:
Last Name:VARGAS VIANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WALL ST FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-2178
Mailing Address - Country:US
Mailing Address - Phone:646-501-3229
Mailing Address - Fax:
Practice Address - Street 1:70 ATLANTIC AVE FL 4
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5501
Practice Address - Country:US
Practice Address - Phone:929-455-2500
Practice Address - Fax:929-455-2550
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-02
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY324290207RG0100X
CT56990207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology