Provider Demographics
NPI:1326081977
Name:SEITZMAN, GERAMI DONYEL (MD)
Entity Type:Individual
Prefix:DR
First Name:GERAMI
Middle Name:DONYEL
Last Name:SEITZMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2510
Mailing Address - Country:US
Mailing Address - Phone:415-514-8200
Mailing Address - Fax:415-514-6845
Practice Address - Street 1:490 ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-2510
Practice Address - Country:US
Practice Address - Phone:415-514-8200
Practice Address - Fax:415-514-6845
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0062267207W00000X
CAA82640207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC31152OtherR/R MEDICARE GROUP #
MDP00238139OtherR/R MEDICARE PROVIDER #
MDP00238139OtherR/R MEDICARE PROVIDER #
MDC31152OtherR/R MEDICARE GROUP #