Individual
KASRA ELIASIEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3017 TELEGRAPH AVE STE 210, BERKELEY, CA 94705-2049
(510) 899-7466
(510) 899-6024
Mailing address
3017 TELEGRAPH AVE STE 210, BERKELEY, CA 94705-2049
(510) 899-7466
(510) 899-6024
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A132513
CA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
A132513
CA
Other
Enumeration date
07/06/2009
Last updated
10/01/2024
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