Individual
DR. HI SUP SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
D0046412
MD
207R00000X
Internal Medicine Physician
Primary
D0046412
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000424675
BS OF PA
PA
01
—
10199000000
PHN
MD
01
—
145388000
WCDL
MD
05
—
148241600
—
MD
01
—
52386701
BS OF MD
MD
01
—
W724002
BS OF DC
DC
01
—
W724002
DELMARVA HEALTH PLAN
MD
Enumeration date
05/09/2006
Last updated
02/02/2010
Update your record
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