MEDICARE: DR. ARVIND KUMAR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	A73624	CA
2	207KA0200X	Allergy Physician	A73624	CA

General Provider Information

NPI Number	:	1255315206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARVIND KUMAR M.D.

Provider Business Mailing Address
First Line	:	1001 RIVERSIDE AVE
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-5134
Country	:	US
Telephone Number	:	916-784-4220
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 RIVERSIDE AVE
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-5134
Country	:	US
Telephone Number	:	916-784-4220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	12/13/2021

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