Provider Demographics
NPI:1326135377
Name:DA SILVEIRA, EDUARDO B V (MD, MSC)
Entity Type:Individual
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First Name:EDUARDO
Middle Name:B V
Last Name:DA SILVEIRA
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Gender:M
Credentials:MD, MSC
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Mailing Address - Street 1:200 JOSE FIGUERES AVE
Mailing Address - Street 2:STE 170
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1586
Mailing Address - Country:US
Mailing Address - Phone:408-347-9001
Mailing Address - Fax:408-347-9004
Practice Address - Street 1:2340 MONTPELIER DR
Practice Address - Street 2:SUITE A
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1622
Practice Address - Country:US
Practice Address - Phone:408-347-9001
Practice Address - Fax:408-347-9004
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2017-04-17
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Provider Licenses
StateLicense IDTaxonomies
ORMD26671207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC51904Medicaid
OR005922Medicaid
I29964Medicare UPIN