Simani, Rahmatollah O

Simani, Rahmatollah O is an individual health care provider with primary practice located at 402 W Lake St , Friendship WI 53934-9699. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Simani, Rahmatollah O can be contacted via phone (608) 339-3331.

Contact Information

Primary practice address
402 W Lake St Friendship WI 53934-9699
Phone: (608) 339-3331
Fax: (608) 339-6975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 17974 Wisconsin

Profile Details

NPI number 1104895010
LBN Legal business name Simani, Rahmatollah O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 13th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104895010 NPPES
Wisconsin MEDICAID 30970900

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