Elyasi, Siamak
Elyasi, Siamak is an individual health care provider with primary practice located at 2220 Gladstone Dr Suite 3, Pittsburg CA 94565-5123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Elyasi, Siamak can be contacted via phone (925) 779-9601.Contact Information
Primary practice address
2220 Gladstone Dr Suite 3
Pittsburg CA 94565-5123
Phone: (925) 779-9601
Fax: (925) 432-4590
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A50205 | California |
Profile Details
NPI number | 1467407809 |
---|---|
LBN Legal business name | Elyasi, Siamak |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2006 |
Last updated | Aug 26th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467407809 | NPPES |
California | MEDICAID | 00A502050 |
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