De Silva, Niyomi
De Silva, Niyomi is an individual health care provider with primary practice located at 4927 Lake Ridge Pkwy Ste 100 , Grand Prairie TX 75052-3060. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. De Silva, Niyomi can be contacted via phone (469) 506-1671.Contact Information
Primary practice address
4927 Lake Ridge Pkwy Ste 100
Grand Prairie TX 75052-3060
Phone: (469) 506-1671
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101253694 | Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 47283 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME122692 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 125056535 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | T3609 | Texas |
Profile Details
| NPI number | 1447481213 |
|---|---|
| LBN Legal business name | De Silva, Niyomi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2009 |
| Last updated | Mar 16th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447481213 | NPPES |
| Florida | MEDICAID | 014452700 |
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