Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | L6698 | TX |
NPI | 1033178165 |
---|---|
Provider Name | Udit Narain Verma |
First Address | Dallas, TX 75390-8852 |
Second Address | Dallas, TX 75390-8852 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2006 |
Last Update Date | 10/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H75518 | (02) |