Provider Demographics
NPI:1306837844
Name:DSILVA, ORLANDO ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:ANTONIO
Last Name:DSILVA
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 1:7467 HERMITAGE RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:OH
Mailing Address - Zip Code:44077
Mailing Address - Country:US
Mailing Address - Phone:440-357-0155
Mailing Address - Fax:
Practice Address - Street 1:1111 LAKE AVE
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-2929
Practice Address - Country:US
Practice Address - Phone:440-964-7121
Practice Address - Fax:440-964-2251
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-03
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35048355207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0507400Medicaid
OH0507400Medicaid
0520872Medicare ID - Type Unspecified