MEDICARE: DR. M KYLE SILA M.D.

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	207L00000X	Anesthesiology Physician	R3M51	MO
2	207L00000X	Anesthesiology Physician	MD433638	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578559183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. M KYLE SILA M.D.

Provider Business Mailing Address
First Line	:	3500 N BROAD ST RM 1A
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-4106
Country	:	US
Telephone Number	:	215-707-2433
Fax Number	:

Provider Business Practice Location Address
First Line	:	1331 E WYOMING AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-3808
Country	:	US
Telephone Number	:	215-707-7237
Fax Number	:	215-707-8028

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	05/22/2025

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