Provider Demographics
NPI:1831975382
Name:ADVANCED INSTITUTE FOR METABOLIC DISORDERS, ENDOCRINOLOGY AND DIABETES
Entity type:Organization
Organization Name:ADVANCED INSTITUTE FOR METABOLIC DISORDERS, ENDOCRINOLOGY AND DIABETES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIPIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-745-8989
Mailing Address - Street 1:PO BOX 1809
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29622
Mailing Address - Country:US
Mailing Address - Phone:864-745-8989
Mailing Address - Fax:864-745-8990
Practice Address - Street 1:1403 E GREENVILLE ST STE D
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2285
Practice Address - Country:US
Practice Address - Phone:443-798-4080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty