NPI Code Details Logo

NPI 1780549444

NPI 1780549444 : SIMA SPECIALITY MEDICINE PLLC : READING, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1780549444
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SIMA SPECIALITY MEDICINE PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/16/2025
-----------------------------------------------------
    Last Update Date     |    12/16/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1623 MORGANTOWN RD 
-----------------------------------------------------
    City                 |    READING
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    19607-9455
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    802-735-0001
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    801 SPRINGDALE DR STE 100N 
-----------------------------------------------------
    City                 |    EXTON
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    19341-2866
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    802-735-0001
-----------------------------------------------------
    Fax                  |    903-342-8251
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     SASIKUMAR  KATAMREDDY 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    914-414-2575
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2084N0400X
-----------------------------------------------------
    Taxonomy Name        |    Neurology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.