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Individual

DR. RAJIV VERMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 912-7211
(859) 655-6674
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 912-7211
(859) 655-8981

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43735
KY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
35-086324
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
43735
KY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
43735
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100187220
KY
01
P01469534
RR MEDICARE
KY
Enumeration date
07/11/2006
Last updated
03/05/2021
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