Provider Demographics
NPI:1174651418
Name:KAS, STEVEN MALA (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MALA
Last Name:KAS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:MALA
Other - Middle Name:
Other - Last Name:KAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:5710 CAHALAN AVE BLDG 2
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-3010
Mailing Address - Country:US
Mailing Address - Phone:408-227-6444
Mailing Address - Fax:408-227-5056
Practice Address - Street 1:5710 CAHALAN AVE BLDG 2
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-3010
Practice Address - Country:US
Practice Address - Phone:408-227-6444
Practice Address - Fax:408-227-5056
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12470T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist