MEDICARE: VAIBHAVI SILAMGARI DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0102208901	VA

General Provider Information

NPI Number	:	1306474424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VAIBHAVI SILAMGARI DO

Provider Business Mailing Address
First Line	:	19555 N 59TH AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-6813
Country	:	US
Telephone Number	:	571-224-4437
Fax Number	:

Provider Business Practice Location Address
First Line	:	1225 W FOSTER AVE APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2255
Country	:	US
Telephone Number	:	571-224-4437
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2020
Last Update Date	:	10/31/2024

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