Individual
DR. SANJEEV KUMAR VERMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 S 4TH ST, AL LEE MEMORIAL HOSPITAL, FULTON, NY 13069-2904
(315) 591-9400
Mailing address
2316 JAMES ST, SYRACUSE, NY 13206-2839
(315) 463-5107
(315) 463-6029
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
186598
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
186598
NY
207P00000X
Emergency Medicine Physician
186598
NY
207R00000X
Internal Medicine Physician
186598
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01613698
—
NY
01
—
3837085
ECFMG
—
Enumeration date
10/03/2005
Last updated
05/06/2025
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