Provider Demographics
NPI:1740395912
Name:SILVA, ANITA LAKSHMINARAYANA (MD)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:LAKSHMINARAYANA
Last Name:SILVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224-D CORNWALL STREET, NW, SUITE 403
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2704
Mailing Address - Country:US
Mailing Address - Phone:703-437-0001
Mailing Address - Fax:703-787-5739
Practice Address - Street 1:211 SOUTH KING STREET
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-2946
Practice Address - Country:US
Practice Address - Phone:703-437-0001
Practice Address - Fax:703-787-5739
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101232120207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101232120OtherMEDICAL LICENSE
VA30015896770002Medicaid
VA1740395912Medicaid