Provider Demographics
NPI:1386645257
Name:PARAMBI, VARGHESE (MD)
Entity type:Individual
Prefix:
First Name:VARGHESE
Middle Name:
Last Name:PARAMBI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2800 11TH AVE S
Mailing Address - Street 2:SUITE #29
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-5263
Mailing Address - Country:US
Mailing Address - Phone:406-771-6800
Mailing Address - Fax:406-771-6805
Practice Address - Street 1:2800 11TH AVE S
Practice Address - Street 2:SUITE #29
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-5263
Practice Address - Country:US
Practice Address - Phone:406-771-6800
Practice Address - Fax:406-771-6805
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-02
Last Update Date:2024-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT10588207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0074783Medicaid
H03730Medicare UPIN
MT0074783Medicaid