Provider Demographics
NPI:1942404512
Name:HOLASEK, SILVINA SOLEDAD (MD)
Entity Type:Individual
Prefix:DR
First Name:SILVINA
Middle Name:SOLEDAD
Last Name:HOLASEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 NAPA VALLEJO HWY
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-6293
Mailing Address - Country:US
Mailing Address - Phone:707-253-5000
Mailing Address - Fax:707-671-7789
Practice Address - Street 1:206 MASON ST STE F
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-4494
Practice Address - Country:US
Practice Address - Phone:707-671-7788
Practice Address - Fax:707-671-7789
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1065522084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
2804684516OtherMYUTMB 2804684516-COMMERCIAL NUMBER