Healthcare Provider Details

I. General information

NPI: 1063632321
Provider Name (Legal Business Name): NAZANIN E. SILVER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NAZANIN EHSANI M.D.

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 12/12/2020
Certification Date: 12/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 CORPORATE CENTER DR STE 202
CAMP HILL PA
17011-1759
US

IV. Provider business mailing address

150 CORPORATE CENTER DR STE 202
CAMP HILL PA
17011-1759
US

V. Phone/Fax

Practice location:
  • Phone: 717-988-9430
  • Fax: 717-221-5239
Mailing address:
  • Phone: 717-988-9430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD433407
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number242720-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD433407
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: