Provider Demographics
NPI:1437216744
Name:HAYWARD, ROBERT CHRIS (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CHRIS
Last Name:HAYWARD
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:HAYWARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:401 QUARRY ROAD
Mailing Address - Street 2:ROOM 1316
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94305-5722
Mailing Address - Country:US
Mailing Address - Phone:650-723-2194
Mailing Address - Fax:650-723-9807
Practice Address - Street 1:401 QUARRY ROAD
Practice Address - Street 2:ROOM 1316
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94305-5722
Practice Address - Country:US
Practice Address - Phone:650-723-2194
Practice Address - Fax:650-723-9807
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG575152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE25219Medicare UPIN