Provider Demographics
NPI:1205129459
Name:MANN, SIMRAN KAUR (MD)
Entity type:Individual
Prefix:
First Name:SIMRAN
Middle Name:KAUR
Last Name:MANN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 SACHEM PL STE 1
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-2560
Mailing Address - Country:US
Mailing Address - Phone:434-218-0405
Mailing Address - Fax:
Practice Address - Street 1:1414 SACHEM PL STE 1
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-2560
Practice Address - Country:US
Practice Address - Phone:434-218-0405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-20
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261127207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine