| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PRINSTON KUNJAPPAN VARGHESE | 1821559949 | 2022-06-19 |
Prinston Kunjappan Varghese is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1821559949. Registration indicates Prinston Kunjappan Varghese is a provider of access to pediatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Pediatrics (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics, ) (Primary Care/Family Planning/APRN/PA, ) (Pediatrics, Allopathic & Osteopathic Physicians) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Prinston Kunjappan Varghese MD |
| Practice Office Address | 20 YORK ST NEW HAVEN, CT US |
| Practice Office Telephone | 2036884242 |
| Mailing Address | 20 YORK ST NEW HAVEN, CT 065103220 US |
| Business Telephone | 2036884242 |
| Code | Practice | License No State |
|---|---|---|
| 208000000X | Access to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Pediatrics Allopathic & Osteopathic Physicians Pediatrics Pediatrics Primary Care/Family Planning/APRN/PA Pediatrics Allopathic & Osteopathic Physicians | 125.073906
IL |
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |