Provider Demographics
NPI:1215156328
Name:SILVERMAN, MITCHEL U (MD)
Entity type:Individual
Prefix:DR
First Name:MITCHEL
Middle Name:U
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5170 SEPULVEDA BLVD
Mailing Address - Street 2:SUITE #300
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403
Mailing Address - Country:US
Mailing Address - Phone:818-990-4263
Mailing Address - Fax:818-986-4263
Practice Address - Street 1:5170 SEPULVEDA BLVD
Practice Address - Street 2:SUITE #300
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403
Practice Address - Country:US
Practice Address - Phone:818-990-4263
Practice Address - Fax:818-986-4263
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG48611207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA8611OtherLICENSE
CAP00302072OtherRR MEDICARE
CAP00302072OtherRR MEDICARE
E08459Medicare UPIN