Provider Demographics
NPI:1124385349
Name:NANCY A TRAHMS MD ROBERT G TRAHMS MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:NANCY A TRAHMS MD ROBERT G TRAHMS MD A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD- PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAHMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-461-9200
Mailing Address - Street 1:599 SIR FRANCIS DRAKE BLVD
Mailing Address - Street 2:STE 304
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-1712
Mailing Address - Country:US
Mailing Address - Phone:415-461-9200
Mailing Address - Fax:415-435-9700
Practice Address - Street 1:599 SIR FRANCIS DRAKE BLVD
Practice Address - Street 2:STE 304
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-1712
Practice Address - Country:US
Practice Address - Phone:415-461-9200
Practice Address - Fax:415-435-9700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC28110174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty