Provider Demographics
NPI:1821080359
Name:VARGHESE, NAYSHA M (MD)
Entity Type:Individual
Prefix:DR
First Name:NAYSHA
Middle Name:M
Last Name:VARGHESE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:43455 SCHOENHERR RD
Mailing Address - Street 2:STE 2
Mailing Address - City:STERLING HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-1972
Mailing Address - Country:US
Mailing Address - Phone:586-726-4823
Mailing Address - Fax:586-726-8365
Practice Address - Street 1:6620 HIGHLAND RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327
Practice Address - Country:US
Practice Address - Phone:248-666-9332
Practice Address - Fax:248-666-0340
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2020-02-25
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Provider Licenses
StateLicense IDTaxonomies
MI4301074707207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4469416Medicaid
MI4469416Medicaid
MIH74193Medicare UPIN
MIOF36313011Medicare PIN