Healthcare Provider Details

I. General information

NPI: 1831234871
Provider Name (Legal Business Name): STEVEN CARAS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 CLAY ST STE 170N
OAKLAND CA
94612-5216
US

IV. Provider business mailing address

PO BOX 70402
OAKLAND CA
94612-0402
US

V. Phone/Fax

Practice location:
  • Phone: 510-637-1244
  • Fax: 510-637-1264
Mailing address:
  • Phone: 510-637-1244
  • Fax: 510-637-1264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: