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NPI Code Detail

MEDICARE: SIMRAN KAUR MANN M.D.

MEDICARE: SIMRAN KAUR MANN M.D.
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
1207R00000XInternal Medicine Physician261127MA

General Provider Information

NPI Number : 1205129459
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMRAN KAUR MANN M.D.
Provider Business Mailing Address
First Line : 1414 SACHEM PL STE 1
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22901-2560
Country : US
Telephone Number : 434-218-0405
Fax Number :
Provider Business Practice Location Address
First Line : 1414 SACHEM PL STE 1
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22901-2560
Country : US
Telephone Number : 434-218-0405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2011
Last Update Date : 04/07/2025

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