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NPI Code Detail

MEDICARE: SUNAMITA DA SILVA RDN, PA-C

MEDICARE:   SUNAMITA  DA SILVA  RDN, PA-C
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
1133V00000XRegistered Dietitian
2363A00000XPhysician Assistant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C0009468OTHERMDMARYLAND BOARD OF PHYSICIANS
21214098OTHERNATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
386040304OTHERCOMMISSION ON DIETETIC REGISTRATION

General Provider Information

NPI Number : 1770069833
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNAMITA DA SILVA RDN, PA-C
Provider Business Mailing Address
First Line : 10770 COLUMBIA PIKE STE 400
Second Line :
City : SILVER SPRING
State : MD
Zip : 20901-4462
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10801 LOCKWOOD DR STE 200
Second Line :
City : SILVER SPRING
State : MD
Zip : 20901-1562
Country : US
Telephone Number : 301-593-2002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2018
Last Update Date : 10/21/2024

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Directions to “ SUNAMITA DA SILVA RDN, PA-C” Practice Location

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