Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0201X | Pediatric Allergist | 2006001809 | MO |
Y | 2080P0201X | Pediatric Allergist | 35-092034 | OH |
NPI | 1740377449 |
---|---|
Provider Name | Eli Silver |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 18/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1022563680001 | (05) | PA |
207270109 | (05) | MO |
2842660 | (05) | OH |
OTH00000 | (02) |