Provider Demographics
NPI:1619072709
Name:ANIL VERMA MD PC
Entity Type:Organization
Organization Name:ANIL VERMA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-644-5030
Mailing Address - Street 1:8346 TRAFORD LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1600
Mailing Address - Country:US
Mailing Address - Phone:703-644-5030
Mailing Address - Fax:703-644-5099
Practice Address - Street 1:8346 TRAFORD LN
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1600
Practice Address - Country:US
Practice Address - Phone:703-644-5030
Practice Address - Fax:703-644-5099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101031429207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0065213 002OtherCIGNA HEALTH CARE
VA086046OtherANTHEM BLUE CROSS BLUE SH
VA006097731Medicaid
00300001OtherCAREFIRST BLUE CROSS BLUE
VA095556Medicare PIN