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NPI Code Detail

MEDICARE: ROBERT R. DAVIS MD

MEDICARE: ROBERT R. DAVIS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA46532CA

General Provider Information

NPI Number : 1881772952
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT R. DAVIS MD
Provider Business Mailing Address
First Line : PO BOX 22210
Second Line :
City : OAKLAND
State : CA
Zip : 94623-2210
Country : US
Telephone Number : 510-535-4000
Fax Number : 510-535-4189
Provider Business Practice Location Address
First Line : 1030 INTERNATIONAL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94606-3730
Country : US
Telephone Number : 510-238-5400
Fax Number : 510-238-5437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 07/25/2025

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