Provider Demographics
NPI:1215964242
Name:ANDONIAN, ROBERT WALTER (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WALTER
Last Name:ANDONIAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:123 DI SALVO AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1717
Mailing Address - Country:US
Mailing Address - Phone:408-279-0742
Mailing Address - Fax:408-279-1019
Practice Address - Street 1:123 DI SALVO AVE
Practice Address - Street 2:SUITE D
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1717
Practice Address - Country:US
Practice Address - Phone:408-279-0742
Practice Address - Fax:408-279-1019
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2010-12-01
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Provider Licenses
StateLicense IDTaxonomies
CAC36500208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology