Provider Demographics
NPI:1245264449
Name:VERMANI, VINAY (MD)
Entity type:Individual
Prefix:
First Name:VINAY
Middle Name:
Last Name:VERMANI
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:PO BOX 2379
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41105-2379
Mailing Address - Country:US
Mailing Address - Phone:606-408-6200
Mailing Address - Fax:606-408-6612
Practice Address - Street 1:617 23RD ST STE 19
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-2845
Practice Address - Country:US
Practice Address - Phone:606-325-2221
Practice Address - Fax:606-324-1326
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY23951174400000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV611311131001OtherBC/BS MT. STATE
KY64239510Medicaid
WV611311131005OtherBC/BS HUNTINGTON
KY000000051618OtherBC/BS
KY000000935733OtherANTHEM BCBS
WV0073355000Medicaid
OH0699043Medicaid
WV611311131002OtherBC/BS PT PLEASANT
WV611311131001OtherBC/BS MT. STATE
KY000000935733OtherANTHEM BCBS
WV611311131001OtherBC/BS MT. STATE
WV0656385Medicare ID - Type UnspecifiedHUNTINGTON