Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 38632 | CA |
NPI | 1013911049 |
---|---|
Provider Name | Ashok K Verma |
First Address | Hanford, CA 93230-4928 |
Second Address | Hanford, CA 93230-4928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2005 |
Last Update Date | 15/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A386320 | (05) | CA |
A28674 | (02) | CA |