Provider Demographics
NPI:1467788406
Name:BAGGA, SILKY (MD)
Entity Type:Individual
Prefix:
First Name:SILKY
Middle Name:
Last Name:BAGGA
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 1:7546 ENGLISH BOXWOOD LN
Mailing Address - Street 2:
Mailing Address - City:QUINTON
Mailing Address - State:VA
Mailing Address - Zip Code:23141-1381
Mailing Address - Country:US
Mailing Address - Phone:804-439-3859
Mailing Address - Fax:
Practice Address - Street 1:7546 ENGLISH BOXWOOD LN
Practice Address - Street 2:
Practice Address - City:QUINTON
Practice Address - State:VA
Practice Address - Zip Code:23141-1381
Practice Address - Country:US
Practice Address - Phone:804-439-3859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-27
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101246465207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1467788406Medicaid
VA1467788406Medicaid