Individual
RAM KISHUN VERMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1234 E DUPONT RD STE 5, FORT WAYNE, IN 46825
(260) 266-5260
(260) 436-8260
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(260) 266-6013
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.131031
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
01080040A
IN
Other
Enumeration date
07/05/2013
Last updated
10/11/2022
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