Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 01052952 | IN |
Y | 207QA0401X | Family Doctor - Addiction Medicine | 35.072663 | OH |
NPI | 1326145137 |
---|---|
Provider Name | Cheryl P Vargas |
First Address | Cincinnati, OH 45206-2348 |
Second Address | Dayton, OH 45458-2141 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 21/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000175319 | BLUE SHIELD - REID HOSP (01) | IN |
200311520 | (05) | IN |
2074428 | (05) | OH |
G80025 | (02) |