Provider Demographics
NPI:1134322308
Name:VERMA, MAULI A (MD)
Entity Type:Individual
Prefix:DR
First Name:MAULI
Middle Name:A
Last Name:VERMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:141 EAST MICHIGAN AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-3952
Mailing Address - Country:US
Mailing Address - Phone:269-459-1273
Mailing Address - Fax:269-459-1297
Practice Address - Street 1:141 EAST MICHIGAN AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-3952
Practice Address - Country:US
Practice Address - Phone:269-459-1273
Practice Address - Fax:269-459-1297
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2022-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301083534390200000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program