Provider Demographics
NPI:1710281654
Name:SILVERBERG, CHAD M (DO)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:M
Last Name:SILVERBERG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7799 LEESBURG PIKE
Mailing Address - Street 2:SUITE #1000N
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2408
Mailing Address - Country:US
Mailing Address - Phone:703-667-8600
Mailing Address - Fax:
Practice Address - Street 1:7799 LEESBURG PIKE
Practice Address - Street 2:SUITE #1000N
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-2408
Practice Address - Country:US
Practice Address - Phone:703-667-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-07
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0147932085R0202X
DEC2-00087152085R0202X
DCDO0343392085R0202X
MDH721202085R0202X
VA01022028562085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD218001Y75Medicare PIN
DC212965ZCPSMedicare PIN
DC212965YZBMedicare PIN