Provider Demographics
NPI:1033363999
Name:VINAY VERMANI, M.D. DBA TRI STATE CANCER AND BLOOD SPECIALIST
Entity Type:Organization
Organization Name:VINAY VERMANI, M.D. DBA TRI STATE CANCER AND BLOOD SPECIALIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINAY
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-324-3333
Mailing Address - Street 1:2301 LEXINGTON AVE
Mailing Address - Street 2:SUITE 135
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-2873
Mailing Address - Country:US
Mailing Address - Phone:606-324-3333
Mailing Address - Fax:
Practice Address - Street 1:2520 VALLEY DR
Practice Address - Street 2:SUITE 15
Practice Address - City:POINT PLEASANT
Practice Address - State:WV
Practice Address - Zip Code:25550-2031
Practice Address - Country:US
Practice Address - Phone:304-675-1759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1148970002Medicare NSC