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DR. SIMI RACHEL MAMMEN MD
NPI 1104678408
Student in an Organized Health Care Education/Training Program in Watertown, NY

Active since April 02, 2024
830 WASHINGTON ST, WATERTOWN, NY 13601(315) 786-7300(315) 786-7310 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Simi Rachel Mammen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SIMI RACHEL MAMMEN MD (NPI 1104678408) is an individual student in an organized health care education/training program in Watertown, New York and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1104678408
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SIMI RACHEL MAMMENCredential: MD
Location Address830 WASHINGTON STWatertown, NY 13601-4099
Mailing Address830 Washington StWatertown, NY 13601-4099 · (315) 786-7300 · Fax (315) 786-7310
Phone(315) 786-7300
Fax(315) 786-7310
Sole ProprietorNo
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1104678408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

830 WASHINGTON ST, Watertown, NY 13601
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JIN JU YI
Student in an Organized Health Care Education/Training Program
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-7300
DR. APARANJI PALLAVI BALABHADRAPATRUNI MD
Student in an Organized Health Care Education/Training Program
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-7300
DEANNA HIRSCHEY PT
Physical Therapist
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4088
JEFFREY CLINTON KRAUSS PA
Physician Assistant
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-4813
TINA LIVINGSTON PTA
Physical Therapy Assistant
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4088
DR. SHRIPAD BRAHMANAND PANDE MD
Internal Medicine
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4000
MS. LINDSEY RUTH WILLIAMS NP
Nurse Practitioner (Psychiatric/Mental Health)
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-4000
CHRISTIAN JAKOBSEN
Student in an Organized Health Care Education/Training Program
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 779-5244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simi Mammen's NPI number?

The NPI number for Simi Mammen is 1104678408. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Simi Mammen located?

Simi Mammen practices at 830 Washington St, Watertown, NY 13601. The listed phone number is (315) 786-7300.

What is Simi Mammen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Simi Mammen was last updated on April 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.