Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JITHINRAJ EDAKKANAMBETH VARAYIL, MD
DeactivatedDR. JITHINRAJ EDAKKANAMBETH VARAYIL, MD is a Family Medicine healthcare provider located in ROCKFORD, Illinois. NPI 1033591847 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · ROCKFORD, IL
This NPI has been deactivated.
The record was deactivated on July 27, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1033591847
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2015 (3.0767123287671 yrs)
- Last Updated
- Sep 27, 2021
- Deactivated
- Jul 27, 2018
- Licenses
-
125-067838 (IL)125-067838 (IL)69874 (MN)
Practice Information
- Address
-
1200 W STATE STROCKFORD, IL, 61102Browse IL providers · Browse ZIP 61102
- Phone
- 8154901600
- Fax
- 8154901881
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. DIANA ELIZABETH ALANIS | MD | 1922007418 |
| DR. MITCHELL S KING | MD | 1225038276 |
| DR. THOMAS M SCHILLER | MD | 1104827641 |
| DR. MICHAEL JAMES POLIZZOTTO | M.D. | 1871595371 |
| SYED M MOHIUDDIN | MD | 1144216243 |
| DR. STEVEN D DIAMOND | MD | 1861481244 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.