Provider Demographics
NPI:1093756181
Name:SILVER, KRISTI D (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:D
Last Name:SILVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 64442
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4442
Mailing Address - Country:US
Mailing Address - Phone:410-328-8040
Mailing Address - Fax:443-462-3514
Practice Address - Street 1:827 LINDEN AVE
Practice Address - Street 2:FLOOR 2
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-4606
Practice Address - Country:US
Practice Address - Phone:443-682-6800
Practice Address - Fax:443-552-2991
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD45253207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010003041Medicaid
MD531960-01OtherBLUE CROSS/BLUE SHIELD
MD131911600Medicaid
DE1093756181Medicaid
MD460002330Medicare PIN
DE1093756181Medicaid
VA010003041Medicaid
MD110036648Medicare PIN