Provider Demographics
NPI:1689869315
Name:VERMA-JOHRI, GEETIKA KUMARI (MD)
Entity Type:Individual
Prefix:
First Name:GEETIKA
Middle Name:KUMARI
Last Name:VERMA-JOHRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GEETIKA
Other - Middle Name:KUMARI
Other - Last Name:VERMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1754
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-1754
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:484-884-0699
Practice Address - Street 1:1611 POND RD
Practice Address - Street 2:SUITE 400
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-2258
Practice Address - Country:US
Practice Address - Phone:610-395-4300
Practice Address - Fax:610-530-9372
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT045267208000000X
PAMD446001208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004236164Medicaid