Healthcare Provider Details
I. General information
NPI: 1740588391
Provider Name (Legal Business Name): CAREMD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/07/2011
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1890 W MAIN ST STE 110
BARSTOW CA
92311-3726
US
IV. Provider business mailing address
19111 TOWN CENTER DRIVE
APPLE VALLEY CA
92308
US
V. Phone/Fax
- Phone: 760-256-1422
- Fax:
- Phone: 760-242-7777
- Fax: 866-817-2742
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RAHUL
NAYAR
Title or Position: PRESIDENT
Credential: MD
Phone: 760-242-7777