Provider Demographics
NPI:1073131959
Name:VERMA, KARAN (MD)
Entity Type:Individual
Prefix:
First Name:KARAN
Middle Name:
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 1:599 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:31833-1523
Mailing Address - Country:US
Mailing Address - Phone:706-242-5081
Mailing Address - Fax:770-999-2887
Practice Address - Street 1:599 3RD AVE
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:GA
Practice Address - Zip Code:31833-1523
Practice Address - Country:US
Practice Address - Phone:706-242-5081
Practice Address - Fax:770-999-2887
Is Sole Proprietor?:No
Enumeration Date:2020-07-08
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA97637207Q00000X
NDRL16576207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1459002Medicaid