Provider Demographics
NPI:1013911049
Name:VERMA, ASHOK K (MD)
Entity Type:Individual
Prefix:
First Name:ASHOK
Middle Name:K
Last Name:VERMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W 7TH ST
Mailing Address - Street 2:STE 104
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-4928
Mailing Address - Country:US
Mailing Address - Phone:559-584-2771
Mailing Address - Fax:559-584-2108
Practice Address - Street 1:900 W 7TH ST
Practice Address - Street 2:STE 104
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4928
Practice Address - Country:US
Practice Address - Phone:559-584-2771
Practice Address - Fax:559-584-2108
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38632207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A386320Medicaid
CAA28674Medicare UPIN
CA00A386320Medicare ID - Type Unspecified