Healthcare Provider Details

I. General information

NPI: 1447494398
Provider Name (Legal Business Name): WILLIAM RICHARD SILVEIRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2009
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 N. MEDICAL CENTER DRIVE WEST
CLOVIS CA
93611
US

IV. Provider business mailing address

7257 N FRESNO ST
FRESNO CA
93720-2950
US

V. Phone/Fax

Practice location:
  • Phone: 559-387-1600
  • Fax: 559-387-1677
Mailing address:
  • Phone: 559-447-4050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberA115447
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: