Provider Demographics
NPI:1053316240
Name:SIM, ABRAHAM YAP (MD)
Entity Type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:YAP
Last Name:SIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3915 SUNFOREST CT
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4453
Mailing Address - Country:US
Mailing Address - Phone:419-475-9251
Mailing Address - Fax:419-475-1407
Practice Address - Street 1:3915 SUNFOREST CT
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4453
Practice Address - Country:US
Practice Address - Phone:419-475-9251
Practice Address - Fax:419-475-1407
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-03-4485-S207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0194356Medicaid
OHA74005Medicare UPIN
OH0194356Medicaid