Provider Demographics
NPI:1346589710
Name:VARGHESE, ANUP KURIAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANUP
Middle Name:KURIAN
Last Name:VARGHESE
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 ASH BROOK LN APT 1108
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-3251
Mailing Address - Country:US
Mailing Address - Phone:248-825-0117
Mailing Address - Fax:972-863-3367
Practice Address - Street 1:382 ASH BROOK LN
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-3251
Practice Address - Country:US
Practice Address - Phone:248-825-0117
Practice Address - Fax:972-863-3367
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302039206183500000X
TX51258183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist