Provider Demographics
NPI:1538359955
Name:PUSHKIN, ROBERT SHELDON (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SHELDON
Last Name:PUSHKIN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:10921 WILSHIRE BLVD
Mailing Address - Street 2:SUITE #1208
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024
Mailing Address - Country:US
Mailing Address - Phone:310-208-3111
Mailing Address - Fax:310-208-3151
Practice Address - Street 1:10921 WILSHIRE BLVD
Practice Address - Street 2:SUITE #1208
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024
Practice Address - Country:US
Practice Address - Phone:310-208-3111
Practice Address - Fax:310-208-3151
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA28941207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A289410Medicare PIN
A28941Medicare Oscar/Certification
A28941Medicare UPIN