Raphael, Robert Ian

Raphael, Robert Ian is an individual health care provider with primary practice located at 747 52Nd St Department Of Hematology-Oncology, Oakland CA 94609-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Raphael, Robert Ian can be contacted via phone (510) 428-3885.

Contact Information

Primary practice address
747 52Nd St Department Of Hematology-Oncology Oakland CA 94609-1809
Phone: (510) 428-3885
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X A81318 California

Profile Details

NPI number 1144387408
LBN Legal business name Raphael, Robert Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144387408 NPPES
California MEDICAID 00A813180

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