Provider Demographics
NPI:1447347877
Name:RINGROSE, ELIZABETH REED (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:REED
Last Name:RINGROSE
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 1:2901 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2333
Mailing Address - Country:US
Mailing Address - Phone:510-848-4227
Mailing Address - Fax:510-548-8839
Practice Address - Street 1:1411 E 31ST ST
Practice Address - Street 2:ALAMEDA COUNTY MEDICAL CENTER
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-1080
Practice Address - Country:US
Practice Address - Phone:510-437-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC22961207N00000X
CAC022961207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A159350Medicare ID - Type Unspecified
A20322Medicare UPIN