Provider Demographics
NPI:1578533964
Name:SILVER, DIANE SOLOMON (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:SOLOMON
Last Name:SILVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2025 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-1213
Mailing Address - Country:US
Mailing Address - Phone:707-257-2888
Mailing Address - Fax:707-257-7655
Practice Address - Street 1:2025 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-1213
Practice Address - Country:US
Practice Address - Phone:707-257-2888
Practice Address - Fax:707-257-7655
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG23080207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A41840Medicare UPIN