Healthcare Provider Details

I. General information

NPI: 1487584330
Provider Name (Legal Business Name): CEREN BARUT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CEREN BARUT AKSU MD

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 ASHBY AVE
BERKELEY CA
94705-2067
US

IV. Provider business mailing address

3012 SUMMIT ST FL 3
OAKLAND CA
94609-3480
US

V. Phone/Fax

Practice location:
  • Phone: 510-204-4444
  • Fax:
Mailing address:
  • Phone: 510-869-1562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: