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Dr. Niyomi De Silva, MD
Family Medicine Physician in Grand Prairie, Texas
NPI 1447481213

Niyomi De Silva is a Family Medicine Physician based in Frisco, TX. Niyomi De Silva practices in Grand Prairie, TX and has the professional credentials of MD. The NPI Number for Niyomi De Silva is 1447481213 and holds a License No. 0101253694 (Texas).

The current practice location address for Niyomi De Silva is 4927 Lake Ridge Pkwy Ste 100, Grand Prairie, TX and can be reached out via phone at 469-506-1671.

Location: 4927 Lake Ridge Pkwy Ste 100, Grand Prairie, TX, 75035-0519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447481213
Provider Name
Niyomi De Silva
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4927 Lake Ridge Pkwy Ste 100, Grand Prairie, TX, 75035-0519
Phone Number
469-506-1671
Fax Number
Provider Enumeration Date
07/28/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
014452700 05 FL
institution
Provider Business Practice Location Address Details
Address
4927 Lake Ridge Pkwy Ste 100
City
Grand Prairie
State
Texas
Zip
75052-3060
Phone Number
469-506-1671
Fax Number
person
Provider Business Mailing Address Details
Address
4927 Lake Ridge Pkwy Ste 100
City
Grand Prairie
State
Texas
Zip
75052-3060
Phone Number
469-506-1671
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
47283 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0101253694 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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