Individual
SHANNON MICHELLE NOVOSAD VERMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5300 FAR HILLS AVENUE, DAYTON, OH 45429-2347
(937) 433-7536
(937) 433-9612
Mailing address
10708 COUNTRY WALK CT., CENTERVILLE, OH 45458
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35.090812
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000571667
ANTHEM BC/BS
OH
01
—
1900423
COVENTRY HEALTH
OH
01
—
2130350
CIGNA
OH
01
—
2927826
UNITED HEALTHCARE
OH
01
—
9624134
AETNA
OH
01
—
P00640612
RAILROAD MEDICARE
OH
Enumeration date
09/20/2006
Last updated
08/03/2016
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