Provider Demographics
NPI:1760500714
Name:SILVEANU, INDIRA ANCA (MD)
Entity Type:Individual
Prefix:DR
First Name:INDIRA
Middle Name:ANCA
Last Name:SILVEANU
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 1:5505 E SANTA ANA CANYON RD
Mailing Address - Street 2:P.O. BOX 18422
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92817-9700
Mailing Address - Country:US
Mailing Address - Phone:714-315-8308
Mailing Address - Fax:
Practice Address - Street 1:5505 E SANTA ANA CANYON RD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92817-9700
Practice Address - Country:US
Practice Address - Phone:714-315-8308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50855207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F18436Medicare UPIN