Individual
VIPIN VERMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 N FANT ST STE B, ANDERSON, SC 29621-5705
(864) 512-2828
Mailing address
703 N FANT ST STE B, ANDERSON, SC 29621-5705
(864) 512-2828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40740
SC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
40740
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407401
—
SC
Enumeration date
07/11/2013
Last updated
02/12/2024
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