MEDICARE: MOHAMED ALSEIARI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	LP03046	RI
2	207RN0300X	Nephrology Physician	A140299	CA

General Provider Information

NPI Number	:	1528370228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMED ALSEIARI M.D.

Provider Business Mailing Address
First Line	:	533 PARNASSUS AVENUE
Second Line	:	U404 BOX 0532
City	:	SAN FRANSISCO
State	:	CA
Zip	:	94143-0532
Country	:	US
Telephone Number	:	415-476-1812
Fax Number	:

Provider Business Practice Location Address
First Line	:	533 PARNASSUS AVENUE
Second Line	:	U404 BOX 0532
City	:	SAN FRANSISCO
State	:	CA
Zip	:	94143-0532
Country	:	US
Telephone Number	:	415-476-1812
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2010
Last Update Date	:	08/01/2016

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