Provider Demographics
NPI:1306957287
Name:SILANG, RIETA TEEKING (MD)
Entity type:Individual
Prefix:DR
First Name:RIETA
Middle Name:TEEKING
Last Name:SILANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 TYLER STREET
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060
Mailing Address - Country:US
Mailing Address - Phone:603-880-3122
Mailing Address - Fax:603-880-6509
Practice Address - Street 1:19 TYLER STREET
Practice Address - Street 2:SUITE 203
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060
Practice Address - Country:US
Practice Address - Phone:603-880-3122
Practice Address - Fax:603-880-6509
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11289207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30204841Medicaid
NHRE8085Medicare ID - Type Unspecified
NH30204841Medicaid