Provider Demographics
NPI:1659452787
Name:LOWEN, ROBERT MARSHALL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MARSHALL
Last Name:LOWEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 SOUTH DR
Mailing Address - Street 2:SUITE1
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4200
Mailing Address - Country:US
Mailing Address - Phone:650-965-7888
Mailing Address - Fax:650-965-0147
Practice Address - Street 1:305 SOUTH DR
Practice Address - Street 2:SUITE1
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4200
Practice Address - Country:US
Practice Address - Phone:650-965-7888
Practice Address - Fax:650-965-0147
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG23412174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACJ705ZOtherPTAN
CACJ705ZMedicare PIN
CACJ705ZOtherPTAN