Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 47582 | AZ |
NPI | 1164699765 |
---|---|
Provider Name | Dr. Nishant Verma |
First Address | Scottsdale, AZ 85258-5054 |
Second Address | Scottsdale, AZ 85251-5648 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2008 |
Last Update Date | 25/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
810754 | (05) | AZ |