Mantha, Simon
Mantha, Simon is an individual health care provider with primary practice located at 1275 York Ave , New York NY 10065-6007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Mantha, Simon can be contacted via phone (212) 639-2000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 229237 | Massachusetts |
Profile Details
| NPI number | 1831131325 |
|---|---|
| LBN Legal business name | Mantha, Simon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Apr 7th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831131325 | NPPES |
| Massachusetts | MEDICAID | 110073774A |
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