Provider Demographics
NPI:1891773867
Name:SILVER, STEVEN LESLIE (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:LESLIE
Last Name:SILVER
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 1:1180 N INDIAN CANYON DR
Mailing Address - Street 2:SUITE E319
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-4800
Mailing Address - Country:US
Mailing Address - Phone:760-325-1203
Mailing Address - Fax:760-325-5485
Practice Address - Street 1:1180 N INDIAN CANYON DR
Practice Address - Street 2:SUITE E319
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4800
Practice Address - Country:US
Practice Address - Phone:760-325-1203
Practice Address - Fax:760-325-5485
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7184174400000X
CAG34252207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
A91573Medicare UPIN