Provider Demographics
NPI:1710966775
Name:VERMA, SUNIL PAUL (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:PAUL
Last Name:VERMA
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 LINDSAY LN
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-3562
Mailing Address - Country:US
Mailing Address - Phone:401-213-9532
Mailing Address - Fax:401-223-2941
Practice Address - Street 1:333 GREEN END AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-5620
Practice Address - Country:US
Practice Address - Phone:401-213-9532
Practice Address - Fax:401-223-2941
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA256439207R00000X
CT52820207R00000X
RIMD13022207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RISV51405Medicaid
RIH17395Medicare UPIN