Provider Demographics
NPI:1760529697
Name:VERMA, SURENDRA KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SURENDRA
Middle Name:KUMAR
Last Name:VERMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1100 N SAINT FRANCIS ST FL 4
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-2878
Mailing Address - Country:US
Mailing Address - Phone:316-268-5266
Mailing Address - Fax:316-291-7401
Practice Address - Street 1:1701 E 23RD AVE
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-1105
Practice Address - Country:US
Practice Address - Phone:620-665-2000
Practice Address - Fax:620-513-5055
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-261382085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100322680DMedicaid
KS100322680EMedicaid
KSKA1610018Medicare PIN
KSG66711Medicare UPIN
KS101666Medicare PIN