Individual
ANDREW BENEDICT SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19455 DEERFIELD AVENUE, SUITE 301, LANSDOWNE, VA 20176-8102
(703) 858-4439
(703) 858-4489
Mailing address
19455 DEERFIELD AVENUE, SUITE 301, LANSDOWNE, VA 20176-8102
(703) 858-4439
(703) 858-4489
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
0101229009
VA
207YP0228X
Pediatric Otolaryngology Physician
D0080294
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188793
BLUE CROSS BLUE SHIELD
VA
05
—
1972569192
—
VA
01
—
P00406812
RR MEDICARE
VA
Enumeration date
04/25/2006
Last updated
04/21/2017
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