Individual
SUSAN K SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3835 J ST, SACRAMENTO, CA 95816-5520
(916) 456-0400
(916) 340-0621
Mailing address
3835 J ST, SACRAMENTO, CA 95816-5520
(916) 456-0400
(916) 340-0621
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
G79731
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G797310
PIN
CA
Enumeration date
08/31/2006
Last updated
12/06/2007
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