Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G38559 | CA |
N | 111NI0900X | Internist | G38559 | CA |
Y | 207RI0200X | Infectious Disease | G38559 | CA |
NPI | 1033292701 |
---|---|
Provider Name | Jeffrey Silvers |
First Address | San Leandro, CA 94578-2625 |
Second Address | San Leandro, CA 94578-2625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 11/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G385590 | (05) | CA |
A47516 | (02) | CA |