Healthcare Provider Details

I. General information

NPI: 1609939362
Provider Name (Legal Business Name): SIMA ANAND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2006
Last Update Date: 04/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 SUNNYSIDE BLVD STE 100
PLAINVIEW NY
11803-1539
US

IV. Provider business mailing address

131 SUNNYSIDE BLVD STE 100
PLAINVIEW NY
11803-1539
US

V. Phone/Fax

Practice location:
  • Phone: 661-249-6628
  • Fax: 661-249-6345
Mailing address:
  • Phone: 661-249-6628
  • Fax: 661-249-6345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number218954
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: