Dasilva, Marco A

Dasilva, Marco A is an individual health care provider with primary practice located at 2202 N John B Dennis Hwy Ste 100 , Kingsport TN 37660-5904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Dasilva, Marco A can be contacted via phone (423) 578-8500.

Contact Information

Primary practice address
2202 N John B Dennis Hwy Ste 100 Kingsport TN 37660-5904
Phone: (423) 578-8500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101237969 Virginia
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 36826 Tennessee

Profile Details

NPI number 1063489649
LBN Legal business name Dasilva, Marco A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Aug 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063489649 NPPES
Virginia MEDICAID 010030714
Virginia MEDICAID 3879352

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