Provider Demographics
NPI:1730258179
Name:SZETO, RONALD K (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:K
Last Name:SZETO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 TELEGRAPH AVE
Mailing Address - Street 2:SUITE 4103
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3210
Mailing Address - Country:US
Mailing Address - Phone:510-835-7687
Mailing Address - Fax:510-835-1140
Practice Address - Street 1:3100 TELEGRAPH AVE
Practice Address - Street 2:SUITE 4103
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3210
Practice Address - Country:US
Practice Address - Phone:510-835-7687
Practice Address - Fax:510-835-1140
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG32468207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G324681Medicaid
060009964OtherUNITED HEALTHCARE
CA00G324680Medicaid
CA00G324681Medicaid
CA00G324680Medicaid
00G324681Medicare PIN