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Individual

DR. VIMALA VYTHA SIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8521
Mailing address
307 S FRONT ST, 1ST FLOOR, HARRISBURG, PA 17104-1621

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD437973
PA
208M00000X
Hospitalist Physician
Primary
MD437973
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1007307260034
MEDICAID GROUP #
PA
05
102342840 0001
PA
05
102342840 0002 (WH)
PA
01
120420410
DEPT OF LABOR
PA
01
1584078
GATEWAY
PA
01
1972744977
HEALTH AMERICA
PA
01
25-1716306
SOUTH CENTRAL PREFERRED
PA
01
284947
UNISON
PA
01
50087992
CAPITAL BLUECROSS (WH)
PA
01
50087997
CAPITAL BLUECROSS
PA
01
6023118
AETNA HMO
PA
01
867633
MEDICARE GROUP #
PA
01
9926341
AETNA NON-HMO
PA
01
G920-0125/KDM4CU
CAREFIRST
PA
01
MD437973
PA MEDICAL LICENSE
PA
01
P00768396
RAILROAD MEDICARE
PA
01
SI2122269
HIGHMARK BLUESHIELD
PA
Enumeration date
03/20/2009
Last updated
03/07/2023
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