Provider Demographics
NPI:1396820825
Name:ANIL K. VERMA, MD
Entity Type:Organization
Organization Name:ANIL K. VERMA, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF THE GROUP
Authorized Official - Prefix:DR
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:K
Authorized Official - Last Name:VERMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-214-0390
Mailing Address - Street 1:1816 ERIE BLVD E
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-1230
Mailing Address - Country:US
Mailing Address - Phone:315-214-0390
Mailing Address - Fax:315-214-0398
Practice Address - Street 1:1816 ERIE BLVD E
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1230
Practice Address - Country:US
Practice Address - Phone:315-214-0390
Practice Address - Fax:315-214-0398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1726322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty