Provider Demographics
NPI:1407922750
Name:PICCIAFUOCO, SILVIA (MD)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:
Last Name:PICCIAFUOCO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 E JEFFERSON ST
Mailing Address - Street 2:KAISER PERMANENTE MEDICARE ENROLLMENT
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-2424
Mailing Address - Fax:
Practice Address - Street 1:2100 PENNSYLVANIA AVE NW
Practice Address - Street 2:KAISER PERMANENTE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3202
Practice Address - Country:US
Practice Address - Phone:202-872-7176
Practice Address - Fax:202-872-7133
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0053291207R00000X
VA0101221074207R00000X
DCMD31080207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G93666Medicare UPIN
003266M92Medicare ID - Type Unspecified