MEDICARE: OMESH VERMA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	K2617	TX

General Provider Information

NPI Number	:	1073561544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMESH VERMA MD

Provider Business Mailing Address
First Line	:	1320 ART DILLY DR
Second Line	:	STE 2136
City	:	AUSTIN
State	:	TX
Zip	:	78702
Country	:	US
Telephone Number	:	512-474-6836
Fax Number	:	512-474-1904

Provider Business Practice Location Address
First Line	:	1320 ART DILLY DR
Second Line	:	STE 2136
City	:	AUSTIN
State	:	TX
Zip	:	78702
Country	:	US
Telephone Number	:	512-474-6836
Fax Number	:	512-474-1904

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	10/29/2024

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