Provider Demographics
NPI:1891731477
Name:SILVA, ADOLFO (MD)
Entity Type:Individual
Prefix:
First Name:ADOLFO
Middle Name:
Last Name:SILVA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7455 N FRESNO ST
Mailing Address - Street 2:STE 202
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2481
Mailing Address - Country:US
Mailing Address - Phone:559-981-5366
Mailing Address - Fax:559-981-2987
Practice Address - Street 1:7455 N FRESNO ST
Practice Address - Street 2:STE 202
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2481
Practice Address - Country:US
Practice Address - Phone:559-981-5366
Practice Address - Fax:559-981-2987
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG061457207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F26513Medicare UPIN
00G614570Medicare ID - Type Unspecified