DR. Jithinraj Edakkanambeth Varayil, MD

NPI #1033591847 in Rockford, Illinois

Provider Information

NPI Number: 1033591847
Entity Type: Individual
Name: DR. Jithinraj Edakkanambeth Varayil, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 29, 2015
Last Updated: Sep 27, 2021

Practice Location

Address: 1200 W STATE ST
City: Rockford
State: Illinois
ZIP Code: 61102
Phone: (815) 490-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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