=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982786240
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SIMA KALIKA MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/19/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 800 CORTELYOU RD STE 1D
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11218-5243
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-282-0900
-----------------------------------------------------
Fax | 718-282-0995
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2133 E 68TH ST
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11234-6011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-282-0900
-----------------------------------------------------
Fax | 718-282-0900
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 212771
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------