Provider Demographics
NPI:1679896245
Name:VARKEY, ELDHO VETTIAKUNNEL (RPH)
Entity type:Individual
Prefix:MR
First Name:ELDHO
Middle Name:VETTIAKUNNEL
Last Name:VARKEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24036 DEPEW AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11363-1611
Mailing Address - Country:US
Mailing Address - Phone:347-804-8499
Mailing Address - Fax:
Practice Address - Street 1:24036 DEPEW AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11363-1611
Practice Address - Country:US
Practice Address - Phone:347-804-8499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043177183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist