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NPI Code Detail

MEDICARE: DR. ANUPAM R. VERMA MD

MEDICARE: DR. ANUPAM R. VERMA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080N0001XNeonatal-Perinatal Medicine Physician016869ME
22080P0207XPediatric Hematology & Oncology Physician6962530UT

General Provider Information

NPI Number : 1144258302
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANUPAM R. VERMA MD
Provider Business Mailing Address
First Line : PO BOX 413021
Second Line : STE 4100
City : SALT LAKE CITY
State : UT
Zip : 84141-3021
Country : US
Telephone Number : 801-213-3900
Fax Number : 801-662-4707
Provider Business Practice Location Address
First Line : 100 MARIO CAPECCHI DR
Second Line : STE 4100
City : SALT LAKE CITY
State : UT
Zip : 84113-1103
Country : US
Telephone Number : 801-662-4700
Fax Number : 801-662-4707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 11/23/2021

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