Healthcare Provider Details

I. General information

NPI: 1588271357
Provider Name (Legal Business Name): NIKHIL VERMA MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2020
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 E MAIN ST STE 107
COLUMBUS OH
43213-3399
US

IV. Provider business mailing address

6100 E MAIN ST STE 107
COLUMBUS OH
43213-3399
US

V. Phone/Fax

Practice location:
  • Phone: 614-626-8707
  • Fax: 833-921-2126
Mailing address:
  • Phone: 614-626-8707
  • Fax: 614-618-9402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: NIKHIL VERMA
Title or Position: OWNER / PROVIDER
Credential:
Phone: 614-626-8707