Shri Verma MD Gastroenterology LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

039351 Issued in CT

Legal business name

SHRI VERMA MD GASTROENTEROLOGY LLC

Practice address

391 Ocean Ave
New London, CT 06320-4717

Phone

(860) 447-2489

Fax

(860) 437-1231

NPI assigned

Sep 10, 2014

Last updated

Sep 10, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shri K Verma, M.D

Title

Member

Phone

(860) 447-2489

Specialties & licenses 3

Addresses

Other names 1

• Shri Kris Verma MD Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1750782728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 OCEAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204717",
            "telephone_number": "860-447-2489",
            "fax_number": "860-437-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 OCEAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204717",
            "telephone_number": "860-447-2489",
            "fax_number": "860-437-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRI VERMA MD GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "SHRI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-447-2489",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "005228",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "039351",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "039351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shri Kris Verma MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jason A Shirley, MSW
• Shoreline Medical Supply, LLC
• Shoreline Periodontics, PC
• Shoreline Pulmonary Associates LLC
• Shri Kris Verma MD
• Suzy Shukovsky, MD
• Waleed Tariq Siddiqui, MD
• Brooke H Sikora, PA-C
• Rhett Silver, MD
• Jennifer L Silvia, DPT

• Gastroenterology Physician in New London, CT
• Providers in New London, CT by specialty
• Gastroenterology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.