NPI Code Details Logo

NPI 1104016484

NPI 1104016484 : MONICA VERMA MD : LITTLE ROCK, AR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1104016484
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MONICA VERMA MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/01/2007
-----------------------------------------------------
    Last Update Date     |    09/30/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    11825 HINSON RD STE 103 
-----------------------------------------------------
    City                 |    LITTLE ROCK
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72212-3463
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    501-747-1625
-----------------------------------------------------
    Fax                  |    501-747-1626
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    11825 HINSON RD STE 103 
-----------------------------------------------------
    City                 |    LITTLE ROCK
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72212-3463
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    501-747-1625
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207W00000X
-----------------------------------------------------
    Taxonomy Name        |    Ophthalmology Physician
-----------------------------------------------------
    License Number       |    N3373
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207W00000X
-----------------------------------------------------
    Taxonomy Name        |    Ophthalmology Physician
-----------------------------------------------------
    License Number       |    2010011180
-----------------------------------------------------
    License Number State |    MO
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207W00000X
-----------------------------------------------------
    Taxonomy Name        |    Ophthalmology Physician
-----------------------------------------------------
    License Number       |    57-010081
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207W00000X
-----------------------------------------------------
    Taxonomy Name        |    Ophthalmology Physician
-----------------------------------------------------
    License Number       |    E8276
-----------------------------------------------------
    License Number State |    AR
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.