Provider Demographics
NPI:1457665598
Name:STEVEN L. SILAS MD PC
Entity Type:Organization
Organization Name:STEVEN L. SILAS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SILAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-221-7777
Mailing Address - Street 1:1608 WESTGATE CIR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-9103
Mailing Address - Country:US
Mailing Address - Phone:615-221-7777
Mailing Address - Fax:615-221-5500
Practice Address - Street 1:1608 WESTGATE CIR
Practice Address - Street 2:SUITE 100
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-9103
Practice Address - Country:US
Practice Address - Phone:615-221-7777
Practice Address - Fax:615-221-5500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103G299905Medicare PIN