=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124385349
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NANCY A TRAHMS MD ROBERT G TRAHMS MD A PROFESSIONAL CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/12/2012
-----------------------------------------------------
Last Update Date | 08/29/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 599 SIR FRANCIS DRAKE BLVD STE 304
-----------------------------------------------------
City | GREENBRAE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94904-1712
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-461-9200
-----------------------------------------------------
Fax | 415-435-9700
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 599 SIR FRANCIS DRAKE BLVD STE 304
-----------------------------------------------------
City | GREENBRAE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94904-1712
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-461-9200
-----------------------------------------------------
Fax | 415-435-9700
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD- PSYCHIATRIST
-----------------------------------------------------
Name | DR. NANCY TRAHMS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 415-461-9200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | C28110
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------