Healthcare Provider Details

I. General information

NPI: 1033363999
Provider Name (Legal Business Name): VINAY VERMANI, M.D. DBA TRI STATE CANCER AND BLOOD SPECIALIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2008
Last Update Date: 11/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 VALLEY DR SUITE 15
POINT PLEASANT WV
25550-2031
US

IV. Provider business mailing address

2301 LEXINGTON AVE SUITE 135
ASHLAND KY
41101-2873
US

V. Phone/Fax

Practice location:
  • Phone: 304-675-1759
  • Fax:
Mailing address:
  • Phone: 606-324-3333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

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