Provider Demographics
NPI:1639477524
Name:ASHOK K. VERMA, M.D. INC.
Entity Type:Organization
Organization Name:ASHOK K. VERMA, M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:K
Authorized Official - Last Name:VERMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-584-2771
Mailing Address - Street 1:900 W 7TH ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-4928
Mailing Address - Country:US
Mailing Address - Phone:559-584-2771
Mailing Address - Fax:559-584-2108
Practice Address - Street 1:900 W 7TH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4928
Practice Address - Country:US
Practice Address - Phone:559-584-2771
Practice Address - Fax:559-584-2108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-02
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38632207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A386320Medicaid
CA00A386320Medicaid