Individual
RAPHAELLA DE SOUZA L ANTUNES DA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
465 MAIN ST, APT 13C, NEW YORK, NY 10044-0097
(347) 252-7731
Mailing address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 283-5830
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2019045837
MO
Other
Enumeration date
04/05/2011
Last updated
01/29/2020
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