Provider Demographics
NPI:1285668905
Name:WINOKUR, ROBIN FEINER (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:FEINER
Last Name:WINOKUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1744 ALCATRAZ AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-2713
Mailing Address - Country:US
Mailing Address - Phone:510-652-1720
Mailing Address - Fax:510-652-2624
Practice Address - Street 1:1744 ALCATRAZ AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-2713
Practice Address - Country:US
Practice Address - Phone:510-652-1720
Practice Address - Fax:510-652-2624
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG47950208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G479500Medicaid
CAGR0093680Medicaid
CA00G479500Medicaid