MEDICARE: MR. RAJEEV VERMA PHARM.D., RPH

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	302R00000X	Health Maintenance Organization	0202212110	VA

General Provider Information

NPI Number	:	1770852576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAJEEV VERMA PHARM.D., RPH

Provider Business Mailing Address
First Line	:	21058 ALCOTT WAY
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20164-2433
Country	:	US
Telephone Number	:	732-740-1525
Fax Number	:

Provider Business Practice Location Address
First Line	:	21058 ALCOTT WAY
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20164-2433
Country	:	US
Telephone Number	:	732-740-1525
Fax Number	:

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

Provider Enumeration Date	:	12/22/2011
Last Update Date	:	09/11/2013

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