Provider Demographics
NPI:1609165661
Name:VERMA, SEEMA SAMEER (MD)
Entity Type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:SAMEER
Last Name:VERMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SEEMA
Other - Middle Name:AMIT
Other - Last Name:SHAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2580 S SEACREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-6789
Mailing Address - Country:US
Mailing Address - Phone:561-369-7865
Mailing Address - Fax:561-369-7169
Practice Address - Street 1:2580 S SEACREST BLVD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-6789
Practice Address - Country:US
Practice Address - Phone:561-369-7865
Practice Address - Fax:561-369-7169
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 120583207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL811722393OtherTAX ID