Stany A Dsilva Md Llc | |
8800 State Line Rd Leawood KS 66206-1553 | |
(913) 383-9099 | |
(913) 383-3103 |
Full Name | Stany A Dsilva Md Llc |
---|---|
Speciality | Internal Medicine |
Location | 8800 State Line Rd, Leawood, Kansas |
Authorized Official Name and Position | Stany Dsilva (OWNER) |
Authorized Official Contact | 9136346867 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Stany A Dsilva Md Llc 5314 Alden St Shawnee KS 66216-5150 Ph: () - | Stany A Dsilva Md Llc 8800 State Line Rd Leawood KS 66206-1553 Ph: (913) 383-9099 |
NPI Number | 1548562135 |
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Provider Enumeration Date | 12/02/2010 |
Last Update Date | 12/02/2010 |
Medicare PECOS PAC ID | 1658569041 |
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Medicare Enrollment ID | O20101229000860 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548562135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0426638 (Kansas) | Primary |
Provider Name | Stany A Dsilva |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275526162 PECOS PAC ID: 3577602192 Enrollment ID: I20091120000243 |
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