Provider Demographics
NPI:1790758209
Name:SILKISS, RONA ZEL (MD)
Entity Type:Individual
Prefix:DR
First Name:RONA
Middle Name:ZEL
Last Name:SILKISS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:400 29TH ST
Mailing Address - Street 2:SUITE 315
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3522
Mailing Address - Country:US
Mailing Address - Phone:510-763-0881
Mailing Address - Fax:510-763-0907
Practice Address - Street 1:400 29TH ST
Practice Address - Street 2:SUITE 315
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3522
Practice Address - Country:US
Practice Address - Phone:510-763-0881
Practice Address - Fax:510-763-0907
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG45822207WX0200X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1790758209Medicaid
CAA50198Medicare UPIN
CA1790758209Medicaid