Provider Demographics
NPI:1164751129
Name:VERMA, PRAMOD KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:PRAMOD
Middle Name:KUMAR
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 1:2911 - 66 STREET
Mailing Address - Street 2:
Mailing Address - City:EDMONTON
Mailing Address - State:ALBERTA
Mailing Address - Zip Code:T6K4C1
Mailing Address - Country:CA
Mailing Address - Phone:780-450-2400
Mailing Address - Fax:780-450-6471
Practice Address - Street 1:2911 - 66 STREET
Practice Address - Street 2:
Practice Address - City:EDMONTON
Practice Address - State:ALBERTA
Practice Address - Zip Code:T6K4C1
Practice Address - Country:CA
Practice Address - Phone:780-450-2400
Practice Address - Fax:780-450-6471
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.068294207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology