Provider Demographics
NPI:1346412285
Name:VINAY VERMANI, M.D., DBA TRI-STATE CANCER AND BLOOD SPECIALIST
Entity Type:Organization
Organization Name:VINAY VERMANI, M.D., DBA TRI-STATE CANCER AND BLOOD SPECIALIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINAY
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-324-3333
Mailing Address - Street 1:2828 1ST AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25702-1236
Mailing Address - Country:US
Mailing Address - Phone:304-525-4565
Mailing Address - Fax:304-525-9965
Practice Address - Street 1:2301 LEXINGTON AVE
Practice Address - Street 2:SUITE 135
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-2873
Practice Address - Country:US
Practice Address - Phone:606-324-3333
Practice Address - Fax:606-324-5515
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VINAY VEMANI, M.D., DBA TRI-STATE CANCER AND BLOOD SPECIALIST
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2639158Medicaid