Provider Demographics
NPI:1548450216
Name:VERMA, AMIT JAI (MD)
Entity type:Individual
Prefix:DR
First Name:AMIT
Middle Name:JAI
Last Name:VERMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12201 MERIT DR STE 550
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-3131
Mailing Address - Country:US
Mailing Address - Phone:972-331-9700
Mailing Address - Fax:972-331-9833
Practice Address - Street 1:12201 MERIT DR STE 550
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-3131
Practice Address - Country:US
Practice Address - Phone:972-331-9700
Practice Address - Fax:972-331-9833
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM0300208000000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AL502OtherBCBS
TX212234303Medicaid
TX212234301Medicaid
TX212234302Medicaid