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1699977926

NPI Code Detail

MEDICARE: DR. RAJANSHU VERMA MD

MEDICARE: DR. RAJANSHU 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
1	207R00000X	Internal Medicine Physician	4301089649	MI
2	208M00000X	Hospitalist Physician	53669	MN
3	390200000X	Student in an Organized Health Care Education/Training Program	4301089649	MI
4	207R00000X	Internal Medicine Physician	53669	MN

General Provider Information

NPI Number	:	1699977926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJANSHU VERMA MD

Provider Business Mailing Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-0001
Country	:	US
Telephone Number	:	507-284-2511
Fax Number	:

Provider Business Practice Location Address
First Line	:	9145 SPRINGBROOK DR NW STE 200
Second Line	:
City	:	COON RAPIDS
State	:	MN
Zip	:	55433-5886
Country	:	US
Telephone Number	:	612-871-1145
Fax Number	:	612-870-5491

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

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	07/26/2022

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Directions to “ DR. RAJANSHU VERMA MD” Practice Location

Language	Start Address	Practice Location

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