Provider Demographics
NPI:1548428667
Name:VARGHESE, MINI (MD)
Entity type:Individual
Prefix:DR
First Name:MINI
Middle Name:
Last Name:VARGHESE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5850 CORAL RIDGE DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3378
Mailing Address - Country:US
Mailing Address - Phone:954-714-8200
Mailing Address - Fax:954-840-2626
Practice Address - Street 1:5850 CORAL RIDGE DR
Practice Address - Street 2:SUITE 106
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-3378
Practice Address - Country:US
Practice Address - Phone:954-714-8200
Practice Address - Fax:954-840-2626
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2011-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME110676208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology