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NPI Code Detail

MEDICARE: SIMARJEET S BRAR MD

MEDICARE: SIMARJEET S BRAR MD
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
1207RC0000XCardiovascular Disease PhysicianMD20508RI
2207RI0011XInterventional Cardiology PhysicianMD20508RI

General Provider Information

NPI Number : 1134615669
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMARJEET S BRAR MD
Provider Business Mailing Address
First Line : 455 TOLL GATE ROAD
Second Line : PRC AND CREDENTIALING
City : WARWICK
State : RI
Zip : 02886-2759
Country : US
Telephone Number : 401-273-0641
Fax Number : 401-273-2919
Provider Business Practice Location Address
First Line : 75 FRANCIS ST
Second Line :
City : BOSTON
State : MA
Zip : 02115-6110
Country : US
Telephone Number : 617-732-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2018
Last Update Date : 04/21/2026

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