DR. MD Marco A Dasilva, NPI 1063489649
Hematology & Oncology Physician in Kingsport, TN, US
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 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Hematology & Oncology Physician |
| Classification | |
| Group | |
| 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 0101237969 | VA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 3879352 | TN | MEDICAID | 05 |
| 010030714 | VA | MEDICAID | 05 |
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