Basic Information
Provider Information
NPI: 1013930684
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VERMA
FirstName: ROHIT
MiddleName: BINOD
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5200
Address2:  
City: MANHASSET
State: NY
PostalCode: 110305200
CountryCode: US
TelephoneNumber: 5167232663
FaxNumber: 5163257190
Practice Location
Address1: 611 NORTHERN BLVD
Address2: SUITE 200
City: GREAT NECK
State: NY
PostalCode: 110215207
CountryCode: US
TelephoneNumber: 5167232663
FaxNumber: 5163257190
Other Information
ProviderEnumerationDate: 07/25/2006
LastUpdateDate: 08/01/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XS0117XA94948CAN Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
207XS0117X239705NYY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
207XS0117XME99533FLN Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
207XS0117X25MA08368300NJN Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine

No ID Information.


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