Healthcare Provider Details

I. General information

NPI: 1568428043
Provider Name (Legal Business Name): CYNTHIA CHAN SILE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 06/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 BURNETTS WAY SUITE 310
SUFFOLK VA
23434-8168
US

IV. Provider business mailing address

6350 CENTER DR STE 200
NORFOLK VA
23502-4107
US

V. Phone/Fax

Practice location:
  • Phone: 757-539-0670
  • Fax: 757-539-1062
Mailing address:
  • Phone: 757-213-5700
  • Fax: 757-213-5762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD073324L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number0101058600
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: