MEDICARE: DR. DOUGLAS H SILVER MD

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	2085R0202X	Diagnostic Radiology Physician	46643	GA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659356947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS H SILVER MD

Provider Business Mailing Address
First Line	:	PO BOX 1746
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46206-1746
Country	:	US
Telephone Number	:	877-383-4442
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 MEDICAL CENTER BLVD
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30045-7694
Country	:	US
Telephone Number	:	770-995-4321
Fax Number	:

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

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	04/06/2022

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