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

Sima Gopal Mistry, MD

Individual provider Pediatrics Physician · NPI 1760625552

Sima Gopal Mistry, MD is a Pediatrics Physician in Marysville, Washington. Licensed in Washington. Registered with an NPI since 2009.

Licensed in
WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11603 State Ave Ste G Providence Medical Group Marysville Clinic
Marysville, WA 98271-8465
Phone: (360) 658-6800
Fax: (360) 658-6819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 60403767 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 60403767 (WA)

Record details

NPI number1760625552
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2009
Last updated in NPPESFebruary 18, 2015
Mailing addressPo Box 3360, Portland, OR 97208-3360

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