Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | A73624 | CA |
N | 207RA0201X | Internist - Allergy & Immunology | A73624 | CA |
NPI | 1255315206 |
---|---|
Provider Name | Dr. Arvind Kumar |
First Address | Roseville, CA 95678-5134 |
Second Address | Roseville, CA 95678-5134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2005 |
Last Update Date | 13/12/2021 |