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NPI Code Detail

MEDICARE: NIRMLA VERMA MD

MEDICARE: NIRMLA 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
1208000000XPediatrics Physician036-111409IL

General Provider Information

NPI Number : 1710931621
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIRMLA VERMA MD
Provider Business Mailing Address
First Line : 1555 W HOWARD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60626-1707
Country : US
Telephone Number : 773-764-7146
Fax Number : 773-764-3774
Provider Business Practice Location Address
First Line : 1555 W HOWARD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60626-1707
Country : US
Telephone Number : 773-764-7146
Fax Number : 773-764-3774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 05/04/2021

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Directions to “ NIRMLA VERMA MD” Practice Location

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