Individual
DR. ROBERT ANTHONY EQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3939 J ST, SUITE 106, SACRAMENTO, CA 95819-3631
(916) 454-6191
(916) 454-1036
Mailing address
3939 J ST, SUITE 104, SACRAMENTO, CA 95819-3631
(916) 454-6191
(916) 454-1036
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A78901
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A78901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A789010
—
CA
01
—
00A789011
BLUE SHIELD
CA
01
—
0199878
DEPT. OF LABOR WASHINGTON
WA
01
—
P0022741
RAILROAD MEDICARE
CA
Enumeration date
08/30/2006
Last updated
04/04/2017
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