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NPI Code Detail

MEDICARE: SIMRUN HEALTH SERVICES, INC

MEDICARE: SIMRUN HEALTH SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency121863NC
22084P0800XPsychiatry Physician2009-00530NC

General Provider Information

NPI Number : 1952630949
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIMRUN HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : 2211 WESTMEADOWVIEW RD
Second Line : SUITE # 108
City : GREENSBORO
State : NC
Zip : 27407-1908
Country : US
Telephone Number : 336-908-1044
Fax Number :
Provider Business Practice Location Address
First Line : 2211 WESTMEADOWVIEW RD
Second Line : SUITE # 108
City : GREENSBORO
State : NC
Zip : 27407-1908
Country : US
Telephone Number : 336-908-1044
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SHAMSHER SINGH AHLUWALIA
Credential : MD
Telephone Number : 336-908-1044
Provider Enumeration Date : 12/22/2009
Last Update Date : 02/06/2013

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