Provider Demographics
NPI:1992596282
Name:VERMA, PRANAV SHAIWAL
Entity type:Individual
Prefix:
First Name:PRANAV
Middle Name:SHAIWAL
Last Name:VERMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-1144
Mailing Address - Country:US
Mailing Address - Phone:203-278-3858
Mailing Address - Fax:
Practice Address - Street 1:20 GARFIELD RD
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-1144
Practice Address - Country:US
Practice Address - Phone:203-278-3858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician