Healthcare Provider Details
I. General information
NPI: 1780549444
Provider Name (Legal Business Name): SIMA SPECIALITY MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1623 MORGANTOWN RD
READING PA
19607-9455
US
IV. Provider business mailing address
801 SPRINGDALE DR STE 100N
EXTON PA
19341-2866
US
V. Phone/Fax
- Phone: 802-735-0001
- Fax:
- Phone: 802-735-0001
- Fax: 903-342-8251
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SASIKUMAR
KATAMREDDY
Title or Position: OWNER
Credential: MD
Phone: 914-414-2575