IndividualActive
Ebby Varghese, M.D.
NPI 1639200942 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Columbia, MO
Provider details
- NPI number
- 1639200942
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2005021816 (MO)
Specialties & taxonomies
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081P2900XLicense 2005021816 (MO)
Allopathic & Osteopathic Physicians
Practice location
3211 S Providence Rd
Bldg. C
Columbia, MO 65203-3644
Phone: (573) 884-7100
Fax: (573) 884-7706
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7687
Columbia, MO 65205-7687
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2022-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.