Provider Demographics
NPI:1104016484
Name:VERMA, MONICA (MD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:VERMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11825 HINSON RD STE 103
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-3463
Mailing Address - Country:US
Mailing Address - Phone:501-747-1625
Mailing Address - Fax:
Practice Address - Street 1:11825 HINSON RD STE 103
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-3463
Practice Address - Country:US
Practice Address - Phone:501-747-1625
Practice Address - Fax:501-747-1626
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3373207W00000X
MO2010011180207W00000X
OH57-010081207W00000X
ARE8276207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO152360243Medicare PIN