Provider Demographics
NPI:1629332770
Name:VERMA, TWISHA CHAKRAVARTY (MD)
Entity Type:Individual
Prefix:
First Name:TWISHA
Middle Name:CHAKRAVARTY
Last Name:VERMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TWISHA
Other - Middle Name:
Other - Last Name:CHAKRAVARTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:18100 SAINT JOHN DR STE 150
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-4600
Mailing Address - Country:US
Mailing Address - Phone:281-523-2380
Mailing Address - Fax:
Practice Address - Street 1:18100 SAINT JOHN DR STE 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-4600
Practice Address - Country:US
Practice Address - Phone:281-523-2380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP200447982085R0001X
TXQ72952085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX369384803Medicaid