Provider Demographics
NPI:1306847918
Name:JOHNS, CAMEILA D'SILVA (MD)
Entity Type:Individual
Prefix:DR
First Name:CAMEILA
Middle Name:D'SILVA
Last Name:JOHNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:OF PATHOLOGY AND LABORATORY MEDICINE
Mailing Address - Street 2:930 MADISON AVENUE, RM 518
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38163-2243
Mailing Address - Country:US
Mailing Address - Phone:901-448-6300
Mailing Address - Fax:901-448-6979
Practice Address - Street 1:OF PATHOLOGY AND LABORATORY MEDICINE
Practice Address - Street 2:930 MADISON AVENUE, RM 518
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38163-2243
Practice Address - Country:US
Practice Address - Phone:901-448-6300
Practice Address - Fax:901-448-6979
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-04
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD38594207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN38982261Medicaid
TN38982261Medicaid
TN38982261Medicare PIN
3040362Medicare ID - Type Unspecified