Provider Demographics
NPI:1902293921
Name:DA SILVA, MONICA (M D)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:DA SILVA
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VANDERBILT UNIVERSITY MEDICAL CTR
Mailing Address - Street 2:1161 21ST AVE S, CCC-4312 MCN
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-2730
Mailing Address - Country:US
Mailing Address - Phone:615-343-6642
Mailing Address - Fax:
Practice Address - Street 1:VANDERBILT UNIVERSITY MEDICAL CTR
Practice Address - Street 2:1161 21ST AVE S, CCC-4312 MCN
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-2730
Practice Address - Country:US
Practice Address - Phone:615-343-6642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program