Healthcare Provider Details
I. General information
NPI: 1831162387
Provider Name (Legal Business Name): MONICA ELIZABETH SILVA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/07/2006
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
109 OMNI DR STE B
SENECA SC
29672-9448
US
IV. Provider business mailing address
300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US
V. Phone/Fax
- Phone: 864-888-4222
- Fax: 864-888-0023
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0208X |
| Taxonomy | Pediatric Infectious Diseases Physician |
| License Number | 22162 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080A0000X |
| Taxonomy | Pediatric Adolescent Medicine Physician |
| License Number | 221628 |
| License Number State | SC |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 22162 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: