Provider Demographics
NPI:1336177245
Name:PASCAL, STEVEN GRAY (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:GRAY
Last Name:PASCAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:80 GRAND AVE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3725
Mailing Address - Country:US
Mailing Address - Phone:510-893-4318
Mailing Address - Fax:510-893-1108
Practice Address - Street 1:80 GRAND AVE
Practice Address - Street 2:SUITE 700
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3725
Practice Address - Country:US
Practice Address - Phone:510-893-4318
Practice Address - Fax:510-893-1108
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2008-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG62038207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAYYY43905YMedicare ID - Type Unspecified
CAE45330Medicare UPIN