Healthcare Provider Details

I. General information

NPI: 1730114786
Provider Name (Legal Business Name): VINAY VERMANI MD INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 02/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 LEXINGTON AVE SUITE 135
ASHLAND KY
41101-2873
US

IV. Provider business mailing address

2301 LEXINGTON AVE SUITE 135
ASHLAND KY
41101-2873
US

V. Phone/Fax

Practice location:
  • Phone: 606-324-3333
  • Fax: 606-324-5515
Mailing address:
  • Phone: 606-324-3333
  • Fax: 606-324-5515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number23951
License Number StateKY

VIII. Authorized Official

Name: VINAY VERMANI
Title or Position: OWNER
Credential: M.D.
Phone: 606-324-3333