Basic Information
| Provider Information | |||||||||
| NPI: | 1235108739 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SILBERMAN | ||||||||
| FirstName: | RANDY | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2141 E CAMELBACK RD | ||||||||
| Address2: | SUITE 230 | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850164764 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6029546228 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2141 E CAMELBACK RD | ||||||||
| Address2: | SUITE 230 | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850164764 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6029546228 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/16/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 22235 | AZ | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 426131 | 05 | AZ | MEDICAID |