Provider Demographics
NPI:1396057592
Name:SILVA, JOSHUA TAYLOR (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:TAYLOR
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 1:2878 E WASATCH BLVD
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84092-7144
Mailing Address - Country:US
Mailing Address - Phone:808-366-2665
Mailing Address - Fax:
Practice Address - Street 1:2878 E WASATCH BLVD
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84092
Practice Address - Country:US
Practice Address - Phone:808-366-2665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8437887-12052083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine