Mary Varghese MD, a Professional Medical

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A52872 Issued in CA

Legal business name

MARY VARGHESE MD, A PROFESSIONAL MEDICAL

Practice address

665 S Knickerbocker Dr
Suite 5
Sunnyvale, CA 94087-1033

Phone

(408) 736-6841

Fax

(408) 736-7329

NPI assigned

Feb 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Varghese, M.D

Title

Owner

Phone

(408) 736-6841

Specialties & licenses 1

Addresses

Other names 1

• corporation Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063553352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 S KNICKERBOCKER DR",
            "address_2": "SUITE 5",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871033",
            "telephone_number": "408-736-6841",
            "fax_number": "408-736-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 S KNICKERBOCKER DR",
            "address_2": "SUITE 5",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871033",
            "telephone_number": "408-736-6841",
            "fax_number": "408-736-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY VARGHESE MD, A PROFESSIONAL MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-736-6841",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Therese Martin-Frey, LMFT
• Wendolyn Houghton Martin, M.A., CCC-SP
• Renei R Martinez, RN
• Leanne M Maru, RD, CSR
• Mary Anne M. Yu, DMD, Inc.
• Adrian E Masoni
• Lauren Matern, LMFT#164054
• Mathew a. Snider, D.C., a Chiropractic Corporation
• Pooja Mathew
• Elecia Mathis

• Internal Medicine Physician in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.