Provider Demographics
NPI:1083680235
Name:VERMA, NARAYAN P (MD)
Entity Type:Individual
Prefix:DR
First Name:NARAYAN
Middle Name:P
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 1:31150 HOOVER RD
Mailing Address - Street 2:STE B
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093
Mailing Address - Country:US
Mailing Address - Phone:586-983-3666
Mailing Address - Fax:586-983-3776
Practice Address - Street 1:31150 HOOVER RD STE B
Practice Address - Street 2:STE B
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-7618
Practice Address - Country:US
Practice Address - Phone:586-983-3666
Practice Address - Fax:586-983-3776
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010445182084N0600X, 2084S0012X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIBCBS MIOther130E014130
MI3316092Medicaid
MIBLUE CARE NETWORKOther130E014130