Provider Demographics
NPI:1922320175
Name:VERODANA, INC
Entity Type:Organization
Organization Name:VERODANA, INC
Other - Org Name:FRANK G. VERES, DO AND ZACHARY F. VERES, DO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:G
Authorized Official - Last Name:VERES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-847-7778
Mailing Address - Street 1:4681 MAHONING AVE NW
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-1418
Mailing Address - Country:US
Mailing Address - Phone:330-847-7778
Mailing Address - Fax:330-847-8166
Practice Address - Street 1:4681 MAHONING AVE NW
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-1418
Practice Address - Country:US
Practice Address - Phone:330-847-7778
Practice Address - Fax:330-847-8166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-15
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty