Basic Information
Provider Information
NPI: 1558334623
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BURNS
FirstName: ROBERT
MiddleName: B
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 EMBARCADERO CTR STE 1900
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941113723
CountryCode: US
TelephoneNumber: 4156586791
FaxNumber:  
Practice Location
Address1: 1010 JOAQUIN RD
Address2:  
City: MOUNTAIN VIEW
State: CA
PostalCode: 940431242
CountryCode: US
TelephoneNumber: 6502271103
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/09/2006
LastUpdateDate: 09/13/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XG76634CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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