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General NPI Number Information
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NPI Number | 1881613586
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Entity Type | Individual
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Provider Name | VISHAL VERMA MD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 13280 EVENING CREEK DR S SUITE 110
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City | SAN DIEGO
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State | CA
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Zip | 92128-4101
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Country | US
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Telephone | 858-752-9735
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Fax | 888-630-5711
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Provider Business Mailing Address
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Address Line | 13280 EVENING CREEK DR S STE 225
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City | SAN DIEGO
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State | CA
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Zip | 92128-4664
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Country | US
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Telephone | 888-910-0623
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Fax | 888-630-5711
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | L9533
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101252002
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A81760
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License Number State | CA
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