Provider Demographics
NPI:1568428043
Name:SILE, CYNTHIA CHAN (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CHAN
Last Name:SILE
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 1:6350 CENTER DR
Mailing Address - Street 2:STE 200
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-4107
Mailing Address - Country:US
Mailing Address - Phone:757-213-5700
Mailing Address - Fax:757-213-5762
Practice Address - Street 1:150 BURNETTS WAY
Practice Address - Street 2:SUITE 310
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-8168
Practice Address - Country:US
Practice Address - Phone:757-539-0670
Practice Address - Fax:757-539-1062
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD073324L207RH0003X
VA0101058600207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5767724OtherAETNA PPOS
1304723OtherHIGHMARK
900003731OtherRAILROAD MEDICARE
OH000000198810OtherANTHEM
000000119810OtherUNISON/MEDPLUS
PA0018579320001Medicaid
OH2295672Medicaid
PA0018579320002Medicaid
VA1568428043OtherOPTIMA
PA3340403OtherAETNA
VA1568428043Medicaid
VA1568428043Medicaid
VAVVB741AMedicare PIN
PA0018579320001Medicaid