Provider Demographics
NPI:1972666196
Name:ROBERT S. HAUSNER M.D., PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ROBERT S. HAUSNER M.D., PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAUSNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-563-5191
Mailing Address - Street 1:2354 POST ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3424
Mailing Address - Country:US
Mailing Address - Phone:415-563-5191
Mailing Address - Fax:415-388-4232
Practice Address - Street 1:2354 POST ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3424
Practice Address - Country:US
Practice Address - Phone:415-563-5191
Practice Address - Fax:415-388-4232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG265342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G265340Medicare ID - Type Unspecified
CAA43029Medicare UPIN