Provider Demographics
NPI:1699875559
Name:CHARLAP, ROBERT STEVEN (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:STEVEN
Last Name:CHARLAP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7040 AVENIDA ENCINAS
Mailing Address - Street 2:SUITE 104 173
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011
Mailing Address - Country:US
Mailing Address - Phone:760-228-4108
Mailing Address - Fax:710-431-7218
Practice Address - Street 1:5814 VAN ALLEN WAY
Practice Address - Street 2:SUITE 210
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008
Practice Address - Country:US
Practice Address - Phone:760-438-4466
Practice Address - Fax:760-431-7218
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG85076208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
G86410Medicare UPIN