Individual
DR. SHOURYA VERMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22250 PROVIDENCE DR, SOUTHFIELD, MI 48075-4825
(248) 849-5862
Mailing address
22250 PROVIDENCE DR, SOUTHFIELD, MI 48075-4825
(248) 849-5862
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4351054774
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2024
Last updated
05/01/2025
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