Provider Demographics
NPI:1063533594
Name:VERMA MEDICAL SERVICES, S.C.
Entity type:Organization
Organization Name:VERMA MEDICAL SERVICES, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHISH
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:262-928-8610
Mailing Address - Street 1:2030 SPRINGBROOK S
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-1201
Mailing Address - Country:US
Mailing Address - Phone:262-928-8610
Mailing Address - Fax:262-928-8615
Practice Address - Street 1:721 AMERICAN AVE
Practice Address - Street 2:SUITE#409
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-5071
Practice Address - Country:US
Practice Address - Phone:262-928-8610
Practice Address - Fax:262-928-8615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI00068995Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER