Healthcare Provider Details

I. General information

NPI: 1730021734
Provider Name (Legal Business Name): ELISABETTA CARIA-ZADEH RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2461 SHATTUCK AVENUE
BERKELEY CA
94704
US

IV. Provider business mailing address

2461 SHATTUCK AVENUE
BERKELEY CA
94704
US

V. Phone/Fax

Practice location:
  • Phone: 510-548-8777
  • Fax: 510-548-0305
Mailing address:
  • Phone: 510-548-8777
  • Fax: 510-548-0305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number76429
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: