Provider Demographics
NPI:1992877013
Name:EL SILIMY, OSAMA EA (MD)
Entity type:Individual
Prefix:DR
First Name:OSAMA
Middle Name:EA
Last Name:EL SILIMY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 SWEDEN ST
Mailing Address - Street 2:
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-2101
Mailing Address - Country:US
Mailing Address - Phone:207-492-1377
Mailing Address - Fax:207-492-1376
Practice Address - Street 1:73 SWEDEN STREET
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736
Practice Address - Country:US
Practice Address - Phone:207-492-1377
Practice Address - Fax:207-492-1376
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME014725207Y00000X, 207YP0228X, 207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
G72704OtherMEDICARE B
G72704OtherMEDICARE B
G72704Medicare UPIN