Desilva, Brad William

Desilva, Brad William is an individual health care provider with primary practice located at 915 Olentangy River Rd Ste 4000 , Columbus OH 43212-3154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Desilva, Brad William can be contacted via phone (614) 366-3687.

Contact Information

Primary practice address
915 Olentangy River Rd Ste 4000 Columbus OH 43212-3154
Fax: (614) 293-9698
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35087448 Ohio

Profile Details

NPI number 1467494401
LBN Legal business name Desilva, Brad William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 10th, 2021 - about 3 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 1467494401 NPPES
Ohio MEDICAID 2641618

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