DESILVA MEDICAL SERVICES LLC – NPI #1184757072
Internal Medicine

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Health Care Provider Taxonomy Code for Internal Medicine

DESILVA MEDICAL SERVICES LLC is a provider located in HAZELWOOD, MO. NPPES has assigned the NPI number 1184757072 to DESILVA MEDICAL SERVICES LLC on March 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RA0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Adolescent Medicine

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DESILVA MEDICAL SERVICES LLC below.

NPI Profile for
DESILVA MEDICAL SERVICES LLC

NPI Number
1184757072
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DESILVA MEDICAL SERVICES LLC
Primary location
6308 HAZELWEST CT
SUITE 200
HAZELWOOD, MO 63042-1739
Phone: (314) 731-5555 Fax: (314) 731-5558
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANANDA DESILVA
PHYSICIAN OWNER
Phone: (314) 731-5555
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0000X
- Internal Medicine / Adolescent Medicine (Primary)		 MO R9845

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.