Provider Demographics
NPI:1861433864
Name:HARVEY, ROBERT A (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:HARVEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1199 BUSH ST
Mailing Address - Street 2:SUITE 690
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5999
Mailing Address - Country:US
Mailing Address - Phone:415-292-2940
Mailing Address - Fax:415-292-2948
Practice Address - Street 1:1199 BUSH ST
Practice Address - Street 2:SUITE 690
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5999
Practice Address - Country:US
Practice Address - Phone:415-292-2940
Practice Address - Fax:415-292-2948
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2010-07-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC371050208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA36497Medicare UPIN