Provider Demographics
NPI:1881045573
Name:NASCIMENTO E SILVA, FABIO AUGUSTO (MD)
Entity Type:Individual
Prefix:DR
First Name:FABIO
Middle Name:AUGUSTO
Last Name:NASCIMENTO E SILVA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-362-1408
Mailing Address - Fax:314-362-0296
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:DIV NEUROLOGY EPILEPSY, STE 6C
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-362-1408
Practice Address - Fax:314-362-0296
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2024-04-10
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Provider Licenses
StateLicense IDTaxonomies
MO20220064142084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200110674Medicaid