Provider Demographics
NPI:1831487719
Name:THEKKEMURIYIL, DANY VARUGHESE (MD)
Entity Type:Individual
Prefix:DR
First Name:DANY
Middle Name:VARUGHESE
Last Name:THEKKEMURIYIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3725 E LEAGUE CITY PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-7374
Mailing Address - Country:US
Mailing Address - Phone:281-957-9127
Mailing Address - Fax:281-957-9157
Practice Address - Street 1:3725 E LEAGUE CITY PKWY STE 200
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-7374
Practice Address - Country:US
Practice Address - Phone:281-957-9127
Practice Address - Fax:281-957-9157
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2021-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011010481207R00000X
MO201600761207RR0500X
TXT2767207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine