Provider Demographics
NPI:1679670822
Name:SILVERMAN, STUART L (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:L
Last Name:SILVERMAN
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 1:8641 WILSHIRE BLVD
Mailing Address - Street 2:#301
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211
Mailing Address - Country:US
Mailing Address - Phone:310-358-2234
Mailing Address - Fax:310-659-2841
Practice Address - Street 1:8641 WILSHIRE BLVD
Practice Address - Street 2:#301
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211
Practice Address - Country:US
Practice Address - Phone:310-358-2234
Practice Address - Fax:310-659-2841
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC39893174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC39893OtherLICENSE
CAC39893OtherLICENSE
C39893Medicare PIN