Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Simi Rachel Mammen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104678408

Dr. Simi Rachel Mammen, MD is a Student in an Organized Health Care Education/Training Program in Watertown, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

830 Washington St
Watertown, NY 13601-4099
Phone: (315) 786-7300
Fax: (315) 786-7310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104678408
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2024
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

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