Provider Demographics
NPI:1336249184
Name:VERMA, HAPPY (MD)
Entity Type:Individual
Prefix:DR
First Name:HAPPY
Middle Name:
Last Name:VERMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5052 BENNINGTON DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25313-2051
Mailing Address - Country:US
Mailing Address - Phone:304-776-7690
Mailing Address - Fax:304-776-7685
Practice Address - Street 1:5386 BIG TYLER RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25313-1059
Practice Address - Country:US
Practice Address - Phone:304-776-7690
Practice Address - Fax:304-776-7685
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV12393208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0112385000Medicaid
WV311042431001OtherSTATE ID