MEDICARE: ROBERT LOUIS PAKTER 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
1	2085R0204X	Vascular & Interventional Radiology Physician	29859	AZ
2	2085R0202X	Diagnostic Radiology Physician	29859	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528039534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT LOUIS PAKTER MD

Provider Business Mailing Address
First Line	:	2000 BROADWAY ST APT 1208
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-1565
Country	:	US
Telephone Number	:	415-471-7960
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 BROADWAY ST APT 1208
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-1565
Country	:	US
Telephone Number	:	415-471-7960
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2006
Last Update Date	:	02/22/2018

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Directions to “ ROBERT LOUIS PAKTER MD” Practice Location

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