| Doctor Name: | DR. RAHMATOLLAH O SIMANI |
| NPI Number: | 1104895010 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 17974 |
| Business Practice Address: | 402 W Lake St Friendship, WI - 539349699 |
| Business Phone Number: | 6083393331 |
| Business Fax Number: | 6083396975 |
| Mailing Address: | Po Box 40, FRIENDSHIP |
| State: | WI |
| Postal Code: | 539340040 |
| Phone Number: | 6083393331 |
| Fax Number: | 6083396975 |
| NPI Enumeration Date: | 03/14/2006 |
| NPI Last Update Date: | 08/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17974 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |