Provider Demographics
NPI:1770752909
Name:VERMA, RAJEEV (MD)
Entity type:Individual
Prefix:
First Name:RAJEEV
Middle Name:
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 1:330 PAXTON WAY
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-3388
Mailing Address - Country:US
Mailing Address - Phone:617-368-0065
Mailing Address - Fax:860-901-7886
Practice Address - Street 1:350 SILAS DEANE HWY STE 100101
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-1700
Practice Address - Country:US
Practice Address - Phone:617-368-0065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA161828207L00000X
MA234527207L00000X
CT046716207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT046716OtherCONNECTICARE
CT1770752909Medicaid
MAP00932804OtherRAILROAD MEDICARE
CTP00932896OtherRAILROAD MEDICARE
CT1770752909Medicaid
CT046716OtherCONNECTICARE