Provider Demographics
NPI:1730114786
Name:VINAY VERMANI MD INCORPORATED
Entity Type:Organization
Organization Name:VINAY VERMANI MD INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINAY
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-324-3333
Mailing Address - Street 1:2301 LEXINGTON AVE
Mailing Address - Street 2:SUITE 135
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-2873
Mailing Address - Country:US
Mailing Address - Phone:606-324-3333
Mailing Address - Fax:606-324-5515
Practice Address - Street 1:2301 LEXINGTON AVE
Practice Address - Street 2:SUITE 135
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-2873
Practice Address - Country:US
Practice Address - Phone:606-324-3333
Practice Address - Fax:606-324-5515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY23951174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0000403000Medicaid
OH2642386Medicaid
CN8682OtherRAILROAD MEDICARE
KY000000051618OtherBC/BS
WV001711767OtherBC/BS MT STATE
KY001711768OtherBC/BS MT STATE, WV
OH2639158Medicaid
OH2639596Medicaid
KY65942559Medicaid
OH2639158Medicaid
KY001711768OtherBC/BS MT STATE, WV
KY1148970001Medicare NSC
WV9300042Medicare PIN
KY65942559Medicaid