Provider Demographics
NPI:1376708321
Name:SIMO, ARMEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMEL
Middle Name:
Last Name:SIMO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4021 ZUNI CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-5448
Mailing Address - Country:US
Mailing Address - Phone:202-317-1609
Mailing Address - Fax:443-440-5516
Practice Address - Street 1:724 MAIDEN CHOICE LN STE 304
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-5967
Practice Address - Country:US
Practice Address - Phone:410-216-0206
Practice Address - Fax:443-440-5516
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA66074207Q00000X
MDD75893207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD201805500Medicaid