Provider Demographics
NPI:1811084270
Name:SILVERMAN, VICKI (MD)
Entity type:Individual
Prefix:DR
First Name:VICKI
Middle Name:
Last Name:SILVERMAN
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 1:33 OLD TOWN LN
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-2575
Mailing Address - Country:US
Mailing Address - Phone:925-743-8150
Mailing Address - Fax:925-743-8150
Practice Address - Street 1:33560 ALVARADO NILES RD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-3111
Practice Address - Country:US
Practice Address - Phone:510-489-8700
Practice Address - Fax:510-489-2643
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG66608208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF47416Medicare UPIN