Healthcare Provider Details

I. General information

NPI: 1891998464
Provider Name (Legal Business Name): NITUN VERMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4546 EL CAMINO REAL B10#345
LOS ALTOS CA
94022
US

IV. Provider business mailing address

4546 EL CAMINO REAL B10#345
LOS ALTOS CA
94022
US

V. Phone/Fax

Practice location:
  • Phone: 650-382-2345
  • Fax:
Mailing address:
  • Phone: 650-382-2345
  • Fax: 408-413-1065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License NumberA99610
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: