Provider Demographics
NPI:1679541304
Name:DANIEL, JAMUNA VARUGHESE (MD)
Entity type:Individual
Prefix:DR
First Name:JAMUNA
Middle Name:VARUGHESE
Last Name:DANIEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST STE 1632
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2734
Mailing Address - Country:US
Mailing Address - Phone:713-426-9113
Mailing Address - Fax:713-426-4015
Practice Address - Street 1:6624 FANNIN ST
Practice Address - Street 2:SUITE 1730
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2312
Practice Address - Country:US
Practice Address - Phone:713-790-8025
Practice Address - Fax:713-790-8096
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6338207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH82532Medicare UPIN
TX8D1586Medicare ID - Type Unspecified