Provider Demographics
NPI:1164517447
Name:VERMA, KRISHNA MURARI (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISHNA
Middle Name:MURARI
Last Name:VERMA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1810 WESTWOOD AVE
Mailing Address - Street 2:PSYCHOLOGICAL MEDICINE CLINIC, PLLC
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-2143
Mailing Address - Country:US
Mailing Address - Phone:252-291-6200
Mailing Address - Fax:252-291-2147
Practice Address - Street 1:1810 WESTWOOD AVE W
Practice Address - Street 2:PSYCHOLOGICAL MEDICINE CLINIC, PLLC
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-2143
Practice Address - Country:US
Practice Address - Phone:252-291-6200
Practice Address - Fax:252-291-2147
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2012-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC387072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC138E8OtherBCBSNC
NC8985003Medicaid
E72814Medicare UPIN
NC2152403BMedicare PIN