Individual
MR. PREM SHANKAR VERMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
11176 MAIN ST, MARTIN, KY 41649-7999
(606) 285-9426
(606) 285-6619
Mailing address
PO BOX 910, MARTIN, KY 41649-0910
(606) 285-9426
(606) 285-6619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21204
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64212046
—
KY
Enumeration date
04/10/2006
Last updated
10/25/2013
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