Provider Demographics
NPI:1417169079
Name:TRAMMA, SIMONE LOPES (MD)
Entity Type:Individual
Prefix:
First Name:SIMONE
Middle Name:LOPES
Last Name:TRAMMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 CAPITOL AVE # MS 2303
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-5006
Mailing Address - Country:US
Mailing Address - Phone:916-713-8661
Mailing Address - Fax:
Practice Address - Street 1:1500 CAPITOL AVE # MS 2303
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-5006
Practice Address - Country:US
Practice Address - Phone:916-713-8661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV243382083X0100X
CAA1007852083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine