| Stany a Dsilva MD LLC | |
|
8800 State Line Rd Leawood KS 66206-1553 | |
| (913) 383-9099 | |
| (913) 383-3103 |
| Full Name | Stany a Dsilva MD LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 8800 State Line Rd, Leawood, Kansas |
| Authorized Official Name and Position | Stany Dsilva (OWNER) |
| Authorized Official Contact | 9136346867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stany a Dsilva MD LLC 5314 Alden St Shawnee KS 66216-5150 | Stany a Dsilva MD LLC 8800 State Line Rd Leawood KS 66206-1553 Ph: (913) 383-9099 |
| NPI Number | 1548562135 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 12/02/2010 |
| Medicare PECOS PAC ID | 1658569041 |
|---|---|
| Medicare Enrollment ID | O20101229000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548562135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0426638 (Kansas) | Primary |
| Provider Name | Stany a Dsilva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275526162 PECOS PAC ID: 3577602192 Enrollment ID: I20091120000243 |
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