DR. MD Marco A Dasilva, NPI 1063489649
Hematology & Oncology Physician in Kingsport, TN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1063489649
NPI Entity Type Individual
Provider Name DR. MD Marco A Dasilva
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4485 W Stone Dr, Suite 200, Kingsport, TN, US
Provider Mailing Address 999 Executive Park Blvd, Suite 201, Kingsport, TN, US, 376604632
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RH0003X

Taxonomy Name Hematology & Oncology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 36826
License State TN
Description An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Business Address

DR. MD Marco A Dasilva
4485 W Stone Dr
Suite 200

Kingsport, TN, US

Phone: 423-224-3150
Fax: 423-224-3169

Mailing Address

DR. MD Marco A Dasilva
999 Executive Park Blvd
Suite 201
Kingsport, TN, US
ZIP 376604632
Phone: 423-224-3250
Fax: 423-224-3258

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RH0003X

Allopathic & Osteopathic Physicians

Internal Medicine

0101237969 VA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
3879352 TN MEDICAID 05
010030714 VA MEDICAID 05

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MRS. PA-C Brittany C Smith

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