1730114786 NPI number — VINAY VERMANI MD INCORPORATED

Table of content: (NPI 1730114786)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730114786 NPI number — VINAY VERMANI MD INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VINAY VERMANI MD INCORPORATED
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1730114786
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/10/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2301 LEXINGTON AVE
Provider Second Line Business Mailing Address:
SUITE 135
Provider Business Mailing Address City Name:
ASHLAND
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41101-2873
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-324-3333
Provider Business Mailing Address Fax Number:
606-324-5515

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2301 LEXINGTON AVE
Provider Second Line Business Practice Location Address:
SUITE 135
Provider Business Practice Location Address City Name:
ASHLAND
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41101-2873
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-324-3333
Provider Business Practice Location Address Fax Number:
606-324-5515
Provider Enumeration Date:
07/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
VERMANI
Authorized Official First Name:
VINAY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
606-324-3333

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  23951 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0000403000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2642386 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: CN8682 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000051618 . This is a "BC/BS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 001711767 . This is a "BC/BS MT STATE" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 001711768 . This is a "BC/BS MT STATE, WV" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 2639158 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2639596 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 65942559 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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