Provider Demographics
NPI:1073586905
Name:MCCABE, ROBERT (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:MCCABE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1141 CATALINA DR # 194
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-5928
Mailing Address - Country:US
Mailing Address - Phone:925-463-1318
Mailing Address - Fax:925-460-9002
Practice Address - Street 1:1447 CEDARWOOD LN
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6175
Practice Address - Country:US
Practice Address - Phone:925-463-1318
Practice Address - Fax:925-460-9002
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG43724207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
F24170Medicare UPIN
CA00G437243Medicare PIN
CAZZZ34971ZMedicare PIN
440001871Medicare PIN