Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | L-243579 | MA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | D74678 | MD |
NPI | 1861700288 |
---|---|
Provider Name | Ranjit A Varghese |
First Address | Baltimore, MD 21287-0010 |
Second Address | Baltimore, MD 21287-0010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2010 |
Last Update Date | 13/09/2012 |