Individual
SHYAM VERMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 GARDEN ST, TITUSVILLE, FL 32796-3408
(321) 267-1163
(321) 267-8378
Mailing address
801 GARDEN ST, TITUSVILLE, FL 32796-3408
(321) 267-1163
(321) 267-8378
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME54560
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049633200
—
FL
Enumeration date
10/17/2007
Last updated
05/17/2022
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