Provider Demographics
NPI:1689807992
Name:SILADY, MONA ALEXANDRIA (MD)
Entity Type:Individual
Prefix:MRS
First Name:MONA
Middle Name:ALEXANDRIA
Last Name:SILADY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:MONA
Other - Middle Name:
Other - Last Name:TAFTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:22100 BOTHELL EVERETT HWY
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-8431
Mailing Address - Country:US
Mailing Address - Phone:208-416-2932
Mailing Address - Fax:
Practice Address - Street 1:11576 ALBORADA DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-1034
Practice Address - Country:US
Practice Address - Phone:858-922-6745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012708312085R0202X
CAA1155572085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology