Provider Demographics
NPI:1033155874
Name:WILLIAMS, ROBERT MICHAEL (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MICHAEL
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:269 S BEVERLY DR
Mailing Address - Street 2:SUITE 588
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3851
Mailing Address - Country:US
Mailing Address - Phone:310-270-7194
Mailing Address - Fax:925-828-0734
Practice Address - Street 1:269 S BEVERLY DR
Practice Address - Street 2:SUITE 588
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-3851
Practice Address - Country:US
Practice Address - Phone:310-270-7194
Practice Address - Fax:925-828-0734
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG75542207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology