Provider Demographics
NPI:1912325135
Name:MCCANDLISH, SILVIA AKI (MD)
Entity Type:Individual
Prefix:
First Name:SILVIA
Middle Name:AKI
Last Name:MCCANDLISH
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2350 W EL CAMINO REAL FL 2
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-6203
Mailing Address - Country:US
Mailing Address - Phone:415-600-3190
Mailing Address - Fax:415-369-1391
Practice Address - Street 1:2100 WEBSTER ST STE 516
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115
Practice Address - Country:US
Practice Address - Phone:415-600-3190
Practice Address - Fax:415-369-1391
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA138864207R00000X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA138864OtherSTATE MEDICAL LICENSE