Provider Demographics
NPI:1295730075
Name:SILBERMAN, RICHARD HENRY II (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:HENRY
Last Name:SILBERMAN
Suffix:II
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 1:1551 STURDY RD
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-7883
Mailing Address - Country:US
Mailing Address - Phone:219-548-0235
Mailing Address - Fax:219-548-8366
Practice Address - Street 1:1551 STURDY RD
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-7883
Practice Address - Country:US
Practice Address - Phone:219-548-0235
Practice Address - Fax:219-548-8366
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01034816A2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00001397OtherRAILROAD MEDICARE PIN#
IN100365490AMedicaid
IN90001123OtherBC/BS OF ILLINOIS
IN7465444OtherAETNA
IN000000275948OtherANTHEM BC/BS
IN100365490AMedicaid
INC08205Medicare UPIN