Provider Demographics
NPI:1407871460
Name:SILVER, EDWARD ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:ALEXANDER
Last Name:SILVER
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 1:1329 LUSITANA ST STE 801
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2434
Mailing Address - Country:US
Mailing Address - Phone:808-536-4335
Mailing Address - Fax:808-537-9195
Practice Address - Street 1:1329 LUSITANA ST STE 707
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2434
Practice Address - Country:US
Practice Address - Phone:808-536-7327
Practice Address - Fax:808-536-2513
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI04988207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI017291Medicaid
HI100906Medicare PIN
HIC97613Medicare UPIN