Provider Demographics
NPI:1043424179
Name:BURR, ROBERT CORBIN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CORBIN
Last Name:BURR
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2500 HOSPITAL DR
Mailing Address - Street 2:BLDG 3
Mailing Address - City:MTN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040
Mailing Address - Country:US
Mailing Address - Phone:650-969-9670
Mailing Address - Fax:650-493-1471
Practice Address - Street 1:2500 HOSPITAL DR
Practice Address - Street 2:BLDG 3
Practice Address - City:MTN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040
Practice Address - Country:US
Practice Address - Phone:650-969-9670
Practice Address - Fax:650-493-1471
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG160522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G160520Medicaid
A39692Medicare UPIN
CA00G160520Medicare ID - Type Unspecified