Provider Demographics
NPI:1770581100
Name:SHERMAN, VERA VICTORIA (MD)
Entity type:Individual
Prefix:DR
First Name:VERA
Middle Name:VICTORIA
Last Name:SHERMAN
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 1:420 S DALLAS AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208-2819
Mailing Address - Country:US
Mailing Address - Phone:412-362-9797
Mailing Address - Fax:
Practice Address - Street 1:330 E 8TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120-1518
Practice Address - Country:US
Practice Address - Phone:412-462-6001
Practice Address - Fax:412-462-6033
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-10
Last Update Date:2015-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD053097L207R00000X, 208100000X
PAMD-053097-L207RB0002X, 207RA0401X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA245258YH5POtherMEDICARE
PA0014900780005Medicaid
PA1490078Medicaid
PA245258YH5POtherMEDICARE