Provider Demographics
NPI:1831832419
Name:COSTA, DELIA SILVERIO (MD)
Entity type:Individual
Prefix:DR
First Name:DELIA
Middle Name:SILVERIO
Last Name:COSTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DELIA
Other - Middle Name:INES
Other - Last Name:SILVERIO GOMEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 843966
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-3966
Mailing Address - Country:US
Mailing Address - Phone:573-884-3300
Mailing Address - Fax:573-884-0943
Practice Address - Street 1:1125 MADISON ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-5227
Practice Address - Country:US
Practice Address - Phone:573-632-5000
Practice Address - Fax:573-893-1984
Is Sole Proprietor?:No
Enumeration Date:2022-04-20
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025026537207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine