=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730114786
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VINAY VERMANI MD INCORPORATED
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/11/2006
-----------------------------------------------------
Last Update Date | 02/10/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2301 LEXINGTON AVE SUITE 135
-----------------------------------------------------
City | ASHLAND
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41101-2873
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-324-3333
-----------------------------------------------------
Fax | 606-324-5515
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2301 LEXINGTON AVE SUITE 135
-----------------------------------------------------
City | ASHLAND
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41101-2873
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-324-3333
-----------------------------------------------------
Fax | 606-324-5515
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | VINAY VERMANI
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 606-324-3333
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 23951
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------