Provider Demographics
NPI:1093490674
Name:VERSHA, FNU (MD)
Entity Type:Individual
Prefix:
First Name:FNU
Middle Name:
Last Name:VERSHA
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3282 COLLEGE STREET BAPTIST HOSPITALS OF SOUTHEAST TE
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701
Mailing Address - Country:US
Mailing Address - Phone:409-212-7463
Mailing Address - Fax:409-212-7965
Practice Address - Street 1:3282 COLLEGE STREET BAPTIST HOSPITALS OF SOUTHEAST TE
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701
Practice Address - Country:US
Practice Address - Phone:409-212-7463
Practice Address - Fax:409-212-7965
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-08-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program