Provider Demographics
NPI:1801165360
Name:VERMA, NEELAM (MS RD LD CDE)
Entity type:Individual
Prefix:MRS
First Name:NEELAM
Middle Name:
Last Name:VERMA
Suffix:
Gender:F
Credentials:MS RD LD CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14403 ARDWELL DR.
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-5107
Mailing Address - Country:US
Mailing Address - Phone:281-530-8699
Mailing Address - Fax:
Practice Address - Street 1:14403 ARDWELL DR.
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-5107
Practice Address - Country:US
Practice Address - Phone:281-530-8699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT02175133V00000X
IL585147133V00000X
IL09610512207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism