MR. VARGHESE EDATTUKAREN MD
NPI 1912930967
Family Medicine in Walnut Ridge, AR

Q: What is Varghese Edattukaren's NPI number?

The NPI number for Varghese Edattukaren is 1912930967. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Q: What is Varghese Edattukaren's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 09, 2006

201 COLONIAL DR, WALNUT RIDGE, AR 72476(870) 886-5507(870) 886-5632 Get Directions Write a Review

NPPES record last updated: January 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Varghese Edattukaren Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. VARGHESE EDATTUKAREN MD (NPI 1912930967) is an individual family medicine provider in Walnut Ridge, Arkansas, licensed in Arkansas (R4370) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912930967

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. VARGHESE EDATTUKARENCredential: MD

Location Address201 COLONIAL DRWalnut Ridge, AR 72476-1410

Mailing AddressPo Box 83, 1300 Creason RoadCorning, AR 72422-0083 · (870) 857-3399 · Fax (870) 857-9934

Phone(870) 886-5507

Fax(870) 886-5632

Sole ProprietorNo

Enumeration DateJuly 9, 2006

Last NPPES UpdateJanuary 16, 2014

✔ NPI 1912930967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AR · R4370

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

201 COLONIAL DR, Walnut Ridge, AR 72476

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Other Identifiers 5

Medicare UPINA08112

Medicare PIN57297AR

Medicaid122364001AR

Medicare PIN0080064741AR

Medicare PIN55994AR

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM ALEXANDER BURNS APRN

Nurse Practitioner (Family)