Provider Demographics
NPI:1992970412
Name:VARGHESE, JUNO ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:JUNO
Middle Name:ELIZABETH
Last Name:VARGHESE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:JUNO
Other - Middle Name:ELIZABETH
Other - Last Name:JOHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:400 RAPTOR CT
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-2516
Mailing Address - Country:US
Mailing Address - Phone:724-940-0089
Mailing Address - Fax:
Practice Address - Street 1:5889 FORBES AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1660
Practice Address - Country:US
Practice Address - Phone:412-421-3500
Practice Address - Fax:412-421-3528
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD433767207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine