Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PRADOSH VARGHESE
Active Sole ProprietorMR. PRADOSH VARGHESE is a Medical Physician Assistant healthcare provider located in NUTLEY, New Jersey. NPI 1063927812 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · NUTLEY, NJ
Registration Details
- NPI Number
- 1063927812
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2017 (8.6813447945751 yrs)
- Last Updated
- Jun 5, 2023
- License
-
25MP00459800 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
124 WASHINGTON AVENUTLEY, NJ, 071103502Browse NJ providers · Browse ZIP 07110
- Phone
- 9736950885
- Fax
- 9737713575
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in NUTLEY, NJ
| Name | Credential | NPI |
|---|---|---|
| MS. LARA KOTHARI | PA-C | 1598707788 |
| TESSA DAIDONE | PA | 1750052999 |
| MR. CHRISTIAN JOSEPH LOGAN | PA-C | 1720823214 |
| DELANEY KATHERINE KLINGER | PA-C | 1477375087 |
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.