MEDICARE: DR. HAPPY VERMA M.D.

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
1	208000000X	Pediatrics Physician	12393	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	311042431001	OTHER	WV	STATE ID

General Provider Information

NPI Number	:	1336249184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAPPY VERMA M.D.

Provider Business Mailing Address
First Line	:	5052 BENNINGTON DR
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25313-2051
Country	:	US
Telephone Number	:	304-776-7690
Fax Number	:	304-776-7685

Provider Business Practice Location Address
First Line	:	5386 BIG TYLER RD
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25313-1059
Country	:	US
Telephone Number	:	304-776-7690
Fax Number	:	304-776-7685

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. HAPPY VERMA M.D.” Practice Location

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