Healthcare Provider Details

I. General information

NPI: 1689113151
Provider Name (Legal Business Name): RONA Z. SILKISS, MD, FACS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2017
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 29TH ST SUITE 315
OAKLAND CA
94609-3522
US

IV. Provider business mailing address

400 29TH ST SUITE 315
OAKLAND CA
94609-3522
US

V. Phone/Fax

Practice location:
  • Phone: 510-763-0881
  • Fax: 510-763-0907
Mailing address:
  • Phone: 510-763-0881
  • Fax: 510-763-0907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RONA Z SLKISS
Title or Position: OWNER
Credential: M.D.
Phone: 510-763-0881