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NPI Code Detail

MEDICARE: DR. SALIMA LYDIA BRILLMAN MD

MEDICARE: DR. SALIMA LYDIA BRILLMAN 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
12084P0800XPsychiatry PhysicianMD426353PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00723214OTHERNDRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MD426353OTHERPAMED LIC NUMBER
310364OTHERNDLICENSE
4ME107964OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1841292455
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALIMA LYDIA BRILLMAN MD
Provider Business Mailing Address
First Line : 675 ALMANOR AVE
Second Line :
City : SUNNYVALE
State : CA
Zip : 94085-2934
Country : US
Telephone Number : 408-734-2800
Fax Number : 408-734-9208
Provider Business Practice Location Address
First Line : 675 ALMANOR AVE
Second Line :
City : SUNNYVALE
State : CA
Zip : 94085-2934
Country : US
Telephone Number : 408-734-2800
Fax Number : 408-734-9208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 03/07/2023

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