Provider Demographics
NPI:1588683775
Name:VERMA, VIRENDAR KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:VIRENDAR
Middle Name:KUMAR
Last Name:VERMA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1191
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72403
Mailing Address - Country:US
Mailing Address - Phone:870-275-6010
Mailing Address - Fax:870-203-0945
Practice Address - Street 1:1201 FLEMING AVE
Practice Address - Street 2:HEALTH SOUTH REHABLITATION HOSPITAL OF JONESBORO
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72403
Practice Address - Country:US
Practice Address - Phone:870-275-6010
Practice Address - Fax:870-203-0945
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR-42652081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR120955001Medicaid
AR120955001Medicaid
AR55073B185Medicare ID - Type Unspecified