Provider Demographics
NPI:1023032273
Name:VERMA, KEDAR N (MD)
Entity Type:Individual
Prefix:DR
First Name:KEDAR
Middle Name:N
Last Name:VERMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2534 ASHTON CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45244-2810
Mailing Address - Country:US
Mailing Address - Phone:513-232-8590
Mailing Address - Fax:
Practice Address - Street 1:3020 HOSPITAL DR
Practice Address - Street 2:SUITE 130 WOUND CARE - HYPERBARIC
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-1962
Practice Address - Country:US
Practice Address - Phone:513-735-8924
Practice Address - Fax:513-735-1740
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.038293207R00000X, 207RA0401X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0493069Medicaid
OHC76589Medicare UPIN
OH0493069Medicaid