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NPI Code Detail

MEDICARE: AVESH R. VERMA MD

MEDICARE: AVESH 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
12084N0600XClinical Neurophysiology PhysicianN7372TX
2390200000XStudent in an Organized Health Care Education/Training Program
32084N0400XNeurology PhysicianN7372TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BP1-0026353OTHERINSTITUTIONAL PERMIT
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558563031
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVESH R. VERMA MD
Provider Business Mailing Address
First Line : 4708 ALLIANCE BLVD
Second Line : SUITE 300
City : PLANO
State : TX
Zip : 75093-5340
Country : US
Telephone Number : 972-758-6000
Fax Number : 972-758-4612
Provider Business Practice Location Address
First Line : 4708 ALLIANCE BLVD STE 550
Second Line :
City : PLANO
State : TX
Zip : 75093-5363
Country : US
Telephone Number : 469-800-6780
Fax Number : 469-800-6825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2007
Last Update Date : 01/30/2024

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