MEDICARE: DR. RASHMI 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	207RH0003X	Hematology & Oncology	Q4324	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8GD004	OTHER	TX	BCBSTX
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790919512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RASHMI VERMA M.D.

Provider Business Mailing Address
First Line	:	800 W MAGNOLIA AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4611
Country	:	US
Telephone Number	:	817-333-0133
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 W MAYFIELD RD
Second Line	:	SUITE 102
City	:	ARLINGTON
State	:	TX
Zip	:	76014-2083
Country	:	US
Telephone Number	:	817-333-3300
Fax Number	:

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

Provider Enumeration Date	:	05/07/2009
Last Update Date	:	03/13/2017

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