Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD13406 | RI |
Y | 111NI0900X | Internist | MD13406 | RI |
N | 207R00000X | Internist | MT190978 | PA |
N | 111NI0900X | Internist | MT190978 | PA |
N | 207RI0200X | Infectious Disease | MD13406 | RI |
NPI | 1023270592 |
---|---|
Provider Name | Dr. Bich-Thuy Thi Sim |
First Address | Providence, RI 02904-5739 |
Second Address | Philadelphia, PA 19140-5103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 04/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CMD13406 | RI STATE MEDICAL BOARD (01) | RI |
MD13406 | RI STATE MEDICAL BOARD (01) | RI |
MT190978 | PENNSYLVANIA MEDICAL TRAINING LICENSE (01) | PA |