Basic Information
| Provider Information | |||||||||
| NPI: | 1316131865 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VERMA | ||||||||
| FirstName: | VISHAL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5187 US ROUTE 60 | ||||||||
| Address2: | SUITE 6 | ||||||||
| City: | HUNTINGTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 257052076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3046918800 | ||||||||
| FaxNumber: | 3043020221 | ||||||||
| Practice Location | |||||||||
| Address1: | 5187 US ROUTE 60 | ||||||||
| Address2: | SUITE 6 | ||||||||
| City: | HUNTINGTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 257052076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3046918800 | ||||||||
| FaxNumber: | 3043020221 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2007 | ||||||||
| LastUpdateDate: | 12/01/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 26563 | WV | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.