Individual
RAJESH VERMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
(260) 460-1425
Mailing address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
(260) 460-1425
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01055396A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200372280
—
IN
Enumeration date
06/10/2006
Last updated
04/23/2013
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