Provider Demographics
NPI:1740289149
Name:TRAHMS, NANCY A (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:A
Last Name:TRAHMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:599 SIR FRANCIS DRAKE BLVD
Mailing Address - Street 2:STE 304
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-1712
Mailing Address - Country:US
Mailing Address - Phone:415-461-9200
Mailing Address - Fax:415-435-9700
Practice Address - Street 1:599 SIR FRANCIS DRAKE BLVD
Practice Address - Street 2:STE 304
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-1712
Practice Address - Country:US
Practice Address - Phone:415-461-9200
Practice Address - Fax:415-435-9700
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2017-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC281102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
00C281101Medicare ID - Type Unspecified
A33533Medicare UPIN