Provider Demographics
NPI:1437415072
Name:WALSH, RABINA KOCHAR (MD)
Entity Type:Individual
Prefix:
First Name:RABINA
Middle Name:KOCHAR
Last Name:WALSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RABINA
Other - Middle Name:
Other - Last Name:KOCHAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:450 SUTTER ST
Mailing Address - Street 2:SUITE 1306
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4206
Mailing Address - Country:US
Mailing Address - Phone:415-781-4083
Mailing Address - Fax:415-781-4104
Practice Address - Street 1:450 SUTTER ST
Practice Address - Street 2:SUITE 1306
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4206
Practice Address - Country:US
Practice Address - Phone:415-781-4083
Practice Address - Fax:415-781-4104
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA130591207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology