Provider Demographics
NPI:1235121146
Name:VERMA, MAHESHWER B (MD)
Entity Type:Individual
Prefix:DR
First Name:MAHESHWER
Middle Name:B
Last Name:VERMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:21 CORPORATE DR
Mailing Address - Street 2:SUITE #4
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-2664
Mailing Address - Country:US
Mailing Address - Phone:610-252-4220
Mailing Address - Fax:610-258-2553
Practice Address - Street 1:21 CORPORATE DR
Practice Address - Street 2:SUITE #4
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-2664
Practice Address - Country:US
Practice Address - Phone:610-252-4220
Practice Address - Fax:610-258-2553
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD 026487-E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE 64175Medicare UPIN