Provider Demographics
NPI:1689812133
Name:ROBERT P SILEO MD PC
Entity Type:Organization
Organization Name:ROBERT P SILEO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:SILEO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-938-7100
Mailing Address - Street 1:201 PARK ST SE
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4661
Mailing Address - Country:US
Mailing Address - Phone:703-938-7100
Mailing Address - Fax:703-938-1261
Practice Address - Street 1:201 PARK ST SE
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4661
Practice Address - Country:US
Practice Address - Phone:703-938-7100
Practice Address - Fax:703-938-1261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-21
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101029056207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC87822Medicare UPIN