Provider Demographics
NPI:1699937201
Name:VERMA, BELA (MD)
Entity type:Individual
Prefix:
First Name:BELA
Middle Name:
Last Name:VERMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 N 12TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17801-1654
Mailing Address - Country:US
Mailing Address - Phone:570-286-0303
Mailing Address - Fax:570-286-2794
Practice Address - Street 1:330 N 12TH ST
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:PA
Practice Address - Zip Code:17801-1654
Practice Address - Country:US
Practice Address - Phone:570-286-0303
Practice Address - Fax:570-286-2794
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD450811207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine