Provider Demographics
NPI:1033185855
Name:SILVERBERG, KAYLEN MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:KAYLEN
Middle Name:MARK
Last Name:SILVERBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 NORTH MOPAC
Mailing Address - Street 2:BLDG I, SUITE 1200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731
Mailing Address - Country:US
Mailing Address - Phone:512-451-0149
Mailing Address - Fax:512-451-0977
Practice Address - Street 1:6500 NORTH MOPAC
Practice Address - Street 2:BLDG I, SUITE 1200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731
Practice Address - Country:US
Practice Address - Phone:512-451-0149
Practice Address - Fax:512-451-0977
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0817207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE20053Medicare UPIN