Provider Demographics
NPI:1730140559
Name:MASAND RAI, SIMI M (MD)
Entity Type:Individual
Prefix:
First Name:SIMI
Middle Name:M
Last Name:MASAND RAI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 783311
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-3311
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:484-884-0699
Practice Address - Street 1:1240 S CEDAR CREST BLVD STE 401
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6218
Practice Address - Country:US
Practice Address - Phone:610-402-7880
Practice Address - Fax:610-402-7881
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2020-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD417855207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1325649OtherHIGHMARK BLUE SHIELD
830007959OtherRAILROAD MEDICARE
129846OtherUNISON
PA50000686OtherCAPITAL BLUE CROSS
PA0018649640001Medicaid
20010968OtherAMERIHEALTH MERCY
830007959OtherRAILROAD MEDICARE
PA50000686OtherCAPITAL BLUE CROSS