Healthcare Provider Details

I. General information

NPI: 1295871085
Provider Name (Legal Business Name): KAMANA VERMA M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 FAIRFAX DR SUITE # 44
ARLINGTON VA
22203-1762
US

IV. Provider business mailing address

3801 FAIRFAX DR SUITE # 44
ARLINGTON VA
22203-1762
US

V. Phone/Fax

Practice location:
  • Phone: 703-522-4780
  • Fax: 703-527-8695
Mailing address:
  • Phone: 703-522-4780
  • Fax: 703-527-8695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101237138
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: