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NPI Code Detail

MEDICARE: MR. SILAS GYIMAH M.D

MEDICARE: MR. SILAS GYIMAH 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
1207Q00000XFamily Medicine PhysicianA157731CA

General Provider Information

NPI Number : 1639522006
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SILAS GYIMAH M.D
Provider Business Mailing Address
First Line : 3900 BOB HOPE DR.
Second Line : ACH - 2ND FLOOR
City : RANCHO MIRAGE
State : CA
Zip : 92270
Country : US
Telephone Number : 650-271-0241
Fax Number :
Provider Business Practice Location Address
First Line : 66675 PIERSON BLVD
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-3737
Country : US
Telephone Number : 760-676-5240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2016
Last Update Date : 04/15/2021

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