Elizabeth Varghese-Kroll, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2009-01104 Issued in NC

Practice address

122 Slade Ave Ste 101
Centers for Rehabilitation, Pain Management & Wellness
Pikesville, MD 21208-4917

Phone

(410) 383-4263

Fax

(410) 383-4005

NPI assigned

Jul 8, 2008

Last updated

Dec 9, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1558524801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SLADE AVE STE 101",
            "address_2": "CENTERS FOR REHABILITATION, PAIN MANAGEMENT & WELLNESS",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084917",
            "telephone_number": "410-383-4263",
            "fax_number": "410-383-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SLADE AVE STE 101",
            "address_2": "CENTERS FOR REHABILITATION, PAIN MANAGEMENT & WELLNESS",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084917",
            "telephone_number": "410-383-4263",
            "fax_number": "410-383-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE-KROLL",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2009-01104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.