Provider Demographics
NPI:1821000324
Name:VERMA, PREETI
Entity Type:Individual
Prefix:
First Name:PREETI
Middle Name:
Last Name:VERMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PREETI
Other - Middle Name:
Other - Last Name:BATTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1415 N ACACIA AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-2449
Mailing Address - Country:US
Mailing Address - Phone:559-638-8187
Mailing Address - Fax:559-638-3635
Practice Address - Street 1:1415 N ACACIA AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-2449
Practice Address - Country:US
Practice Address - Phone:559-638-8187
Practice Address - Fax:559-638-3635
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81494208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A814940Medicaid