Healthcare Provider Details

I. General information

NPI: 1932938362
Provider Name (Legal Business Name): VERITYMD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5841 JAMESON CT
CARMICHAEL CA
95608-0895
US

IV. Provider business mailing address

PO BOX 188368
SACRAMENTO CA
95818-8368
US

V. Phone/Fax

Practice location:
  • Phone: 916-500-4989
  • Fax: 916-236-4575
Mailing address:
  • Phone: 916-500-4989
  • Fax: 916-236-4575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MANOJ KUMAR MITTAL
Title or Position: CEO
Credential: MD
Phone: 916-917-0807