1932151339 NPI number — DR. SATYA B VERMA OD

Table of content: DR. SATYA B VERMA OD (NPI 1932151339)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932151339 NPI number — DR. SATYA B VERMA OD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VERMA
Provider First Name:
SATYA
Provider Middle Name:
B
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
OD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932151339
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/27/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
650 CHATHAM LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLUE BELL
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19422-2906
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-540-9019
Provider Business Mailing Address Fax Number:
215-780-1327

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
650 CHATHAM LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BLUE BELL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19422-2906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-540-9019
Provider Business Practice Location Address Fax Number:
215-780-1327
Provider Enumeration Date:
05/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  OEG1030 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152WL0500X , with the licence number: OEG1030 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 15356 . This is a "SPECTARA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 15357 . This is a "S" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 6106961900 . This is a "VSP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0026942000 . This is a "KEYSTONE HEALTH PLAN EAST" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2155409019 . This is a "VSP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0005576820002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 111428 . This is a "EYE MED" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 111427 . This is a "EYE MED" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 4548 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com