Provider Demographics
NPI:1316135346
Name:JASJOT KAUR VERMANI, MD, INC.
Entity type:Organization
Organization Name:JASJOT KAUR VERMANI, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASJOT
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:VERMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-302-4236
Mailing Address - Street 1:2390C LAS POSAS RD # 114
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-3403
Mailing Address - Country:US
Mailing Address - Phone:805-302-4236
Mailing Address - Fax:805-484-7814
Practice Address - Street 1:1600 N ROSE AVE
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-3722
Practice Address - Country:US
Practice Address - Phone:805-658-2552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W18110Medicare PIN