Individual
AJAY K VERMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 EAST ST, SUITE 230, REDDING, CA 96001-1153
(530) 244-7400
(530) 244-7800
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A43439
CA
207RH0003X
Hematology & Oncology Physician
A434390
CA
207RX0202X
Medical Oncology Physician
Primary
A43439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A434390
BLUE SHIELD
CA
05
—
00A434390
—
CA
01
—
1928052
CIGNA
CA
01
—
P01138609
RAILROAD MCR
CA
Enumeration date
08/31/2006
Last updated
03/25/2013
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