Provider Demographics
NPI:1366476699
Name:VERMA, ANUPAM YATISH (MD)
Entity Type:Individual
Prefix:DR
First Name:ANUPAM
Middle Name:YATISH
Last Name:VERMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12221 MERIT DRIVE
Mailing Address - Street 2:SUITE 910
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251
Mailing Address - Country:US
Mailing Address - Phone:469-374-3850
Mailing Address - Fax:469-374-3851
Practice Address - Street 1:12221 MERIT DRIVE
Practice Address - Street 2:SUITE 910
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251
Practice Address - Country:US
Practice Address - Phone:469-374-3850
Practice Address - Fax:469-374-3851
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD431725207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
I59064Medicare UPIN