Varghese, Liza R

Varghese, Liza R is an individual health care provider with primary practice located at 2616 Legends Way , Crestview Hills KY 41017-2418. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Varghese, Liza R can be contacted via phone (859) 331-3100.

Contact Information

Primary practice address
2616 Legends Way Crestview Hills KY 41017-2418
Phone: (859) 331-3100
Fax: (859) 331-9147
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 35303 Kentucky

Profile Details

NPI number 1952306193
LBN Legal business name Varghese, Liza R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Oct 8th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952306193 NPPES
Kentucky MEDICAID 64037039
Kentucky Other 660003446

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