MEDICARE: SUMIT 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	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	54856-020	WI
2	208000000X	Pediatrics Physician	047999	CT
3	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	70448	GA

General Provider Information

NPI Number	:	1760700603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMIT VERMA M.D.

Provider Business Mailing Address
First Line	:	1605 CHANTILLY DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-3267
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1605 CHANTILLY DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-3267
Country	:	US
Telephone Number	:	646-934-0936
Fax Number	:

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

Provider Enumeration Date	:	05/16/2010
Last Update Date	:	08/22/2013

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Directions to “ SUMIT VERMA M.D.” Practice Location

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