Individual
DR. SHARI MALINI DESILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 636-0200
(479) 986-3448
Mailing address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 636-0200
(479) 986-3448
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E4073
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154251001
—
AR
05
—
200089280A
—
OK
05
—
200090702
—
MO
05
—
200387820A
—
KS
01
—
211129
ANTHEM
MO
01
—
P00328638
RR MEDICARE
—
Enumeration date
04/28/2006
Last updated
03/29/2022
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