Healthcare Provider Details

I. General information

NPI: 1386030559
Provider Name (Legal Business Name): ROBERT KOCHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2015
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3340 HILLVIEW AVE
PALO ALTO CA
94304-1203
US

IV. Provider business mailing address

3340 HILLVIEW AVE
PALO ALTO CA
94304-1203
US

V. Phone/Fax

Practice location:
  • Phone: 650-475-3710
  • Fax:
Mailing address:
  • Phone: 650-475-3710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101236187
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: