Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 036-127644 | IL |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 036-127644 | IL |
NPI | 1013162817 |
---|---|
Provider Name | Dr. Nishant Verma |
First Address | Chicago, IL 60611 |
Second Address | Chicago, IL 60611-5932 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2008 |
Last Update Date | 03/08/2015 |