Provider Demographics
NPI:1225124464
Name:SILK, MUHAMMAD WESAM (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:WESAM
Last Name:SILK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3301 WOODBURN RD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-1229
Mailing Address - Country:US
Mailing Address - Phone:703-876-9700
Mailing Address - Fax:703-876-9701
Practice Address - Street 1:3301 WOODBURN RD
Practice Address - Street 2:SUITE 308
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-1229
Practice Address - Country:US
Practice Address - Phone:703-876-9700
Practice Address - Fax:703-876-9701
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101236890207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010398592Medicaid
VA010398592Medicaid