Provider Demographics
NPI:1437140134
Name:NIRANKARI, VERINDER S (MD)
Entity Type:Individual
Prefix:DR
First Name:VERINDER
Middle Name:S
Last Name:NIRANKARI
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 1:21 CROSSROADS DR
Mailing Address - Street 2:SUITE 425
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5441
Mailing Address - Country:US
Mailing Address - Phone:410-581-2020
Mailing Address - Fax:410-581-2675
Practice Address - Street 1:21 CROSSROADS DR
Practice Address - Street 2:SUITE 425
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5441
Practice Address - Country:US
Practice Address - Phone:410-581-2020
Practice Address - Fax:410-581-2675
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD18417207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD960861300Medicaid
MDKL63 HW88Medicare ID - Type Unspecified
MD960861300Medicaid