Provider Demographics
NPI:1477763563
Name:VERMA, KABEKODE DEEPA (MD)
Entity Type:Individual
Prefix:DR
First Name:KABEKODE
Middle Name:DEEPA
Last Name:VERMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9223 WEST BROADWAY STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-9759
Mailing Address - Country:US
Mailing Address - Phone:281-412-7111
Mailing Address - Fax:832-456-1703
Practice Address - Street 1:9223 WEST BROADWAY STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-9759
Practice Address - Country:US
Practice Address - Phone:281-412-7111
Practice Address - Fax:832-456-1703
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9514207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology