Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Varghese

Individual provider Physician Assistant · NPI 1154929016

Angela Varghese is a Physician Assistant in Troy, Michigan. Qualified in 2020, 6 years ago. Practices with Einstein Practice Plan Inc, a 764-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

461 Tanner Dr
Troy, MI 48085-4714
Phone: (248) 425-5765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6777 W Maple Rd, West Bloomfield, MI 48322-3013 — (800) 653-6568

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010282 (MI)
Physician Assistant Taxonomy 363A00000X (MI)

Record details

NPI number1154929016
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 13, 2020
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022
Mailing address461 Tanner Dr, Troy, MI 48085-4714

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Einstein Practice Plan Inc — 764 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Troy