Provider Demographics
NPI:1457451437
Name:SILVA, CARLOS A (MD)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:A
Last Name:SILVA
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 1:516 INNOVATION DR STE 201
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3866
Mailing Address - Country:US
Mailing Address - Phone:757-524-5277
Mailing Address - Fax:757-524-5277
Practice Address - Street 1:516 INNOVATION DR STE 201
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3866
Practice Address - Country:US
Practice Address - Phone:757-524-5277
Practice Address - Fax:757-995-1990
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101045173207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA3052204OtherCIGNA
VA7176752OtherAETNA
VA15537OtherOPTIMA
VA325098OtherANTHEM
VA5819181Medicaid
VA315672OtherMDIPA
VA290000226Medicare ID - Type Unspecified
VA15537OtherOPTIMA