Provider Demographics
NPI:1396724696
Name:VERMA, ANJU (MD)
Entity type:Individual
Prefix:DR
First Name:ANJU
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 1:19511 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5247
Mailing Address - Country:US
Mailing Address - Phone:301-515-1890
Mailing Address - Fax:301-337-6259
Practice Address - Street 1:19511 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-5247
Practice Address - Country:US
Practice Address - Phone:301-515-1890
Practice Address - Fax:301-337-6259
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058618207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDK287M176Medicare ID - Type Unspecified
I39096Medicare UPIN