Provider Demographics
NPI:1326107210
Name:SIMS, SUSHIL DEWA (DC)
Entity Type:Individual
Prefix:DR
First Name:SUSHIL
Middle Name:DEWA
Last Name:SIMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 LITTLE RIVER TPKE
Mailing Address - Street 2:SUITE 430
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3241
Mailing Address - Country:US
Mailing Address - Phone:703-354-2225
Mailing Address - Fax:703-354-6119
Practice Address - Street 1:7010 LITTLE RIVER TPKE
Practice Address - Street 2:SUITE 430
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3241
Practice Address - Country:US
Practice Address - Phone:703-354-2225
Practice Address - Fax:703-354-6119
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556040111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA017271M13Medicare ID - Type Unspecified