National Provider Identifier
Shane Samuel Varghese, M.D.
Shane Samuel Varghese, M.D. is listed in the NPPES registry with a primary specialty of Hospitalist Physician in Rochester, NY and a listed phone number of (585) 922-5067.
Profile Overview
- NPI
- 1851747372
- Provider Type
- Individual
- Primary Specialty
- Hospitalist Physician
- Enumeration Date
- May 13, 2016
- Last Updated
- January 17, 2024
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3011
Phone: (585) 922-5067
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Hospitalist Physician (208M00000X)
- Internal Medicine Physician (207R00000X)
Endpoints
- svarghese212514@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1851747372
- Entity Type
- Individual
- Last Name
- Varghese
- First Name
- Shane
- Middle Name
- Samuel
- Name Prefix
- Mr.
- Credential
- M.D.
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-1900
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3011
- Practice Country
- US
- Practice Phone
- (585) 922-5067
- Enumeration Date
- May 13, 2016
- Last Updated
- January 17, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 17, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Hospitalist Physician (208M00000X), Internal Medicine Physician (207R00000X)