Provider Demographics
NPI:1740392471
Name:SIMON, HAROLD E (M D)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:E
Last Name:SIMON
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
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Mailing Address - Street 1:3740 SAINT CLAIR FOREST RD
Mailing Address - Street 2:
Mailing Address - City:MOODY
Mailing Address - State:AL
Mailing Address - Zip Code:35004-2513
Mailing Address - Country:US
Mailing Address - Phone:205-640-3401
Mailing Address - Fax:205-702-6011
Practice Address - Street 1:7054 VETERANS PKWY
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125-5117
Practice Address - Country:US
Practice Address - Phone:205-227-7988
Practice Address - Fax:205-227-7996
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL8352207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051033865OtherBLUE CROSS OF ALABAMA
102I111375OtherMEDICARE
AL000033865Medicaid
051597816OtherBCBS AL
AL8352OtherLICENSE
102I111375OtherMEDICARE