Provider Demographics
NPI:1427346204
Name:VERMA, VIKRAM (DO)
Entity type:Individual
Prefix:DR
First Name:VIKRAM
Middle Name:
Last Name:VERMA
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:99 EAST STATE STREET
Mailing Address - Street 2:PO BOX 1250
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-3080
Mailing Address - Country:US
Mailing Address - Phone:518-773-5690
Mailing Address - Fax:518-773-5620
Practice Address - Street 1:2497 STATE HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:MAYFIELD
Practice Address - State:NY
Practice Address - Zip Code:12117-3495
Practice Address - Country:US
Practice Address - Phone:518-661-5493
Practice Address - Fax:518-661-7688
Is Sole Proprietor?:No
Enumeration Date:2011-07-14
Last Update Date:2021-03-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY290923207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine