MEDICARE: MANEESH KUMAR 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	207XS0106X	Orthopaedic Hand Surgery Physician	P4002	TX
2	207X00000X	Orthopaedic Surgery Physician	P4002	TX

General Provider Information

NPI Number	:	1619194255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANEESH KUMAR VERMA M.D.

Provider Business Mailing Address
First Line	:	2172 SWIFT BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1216
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3720 WESTHEIMER RD STE 602
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5222
Country	:	US
Telephone Number	:	281-247-5554
Fax Number	:

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	11/19/2022

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