Healthcare Provider Details

I. General information

NPI: 1669309506
Provider Name (Legal Business Name): SAURABH KUMAR MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47111 MONROE ST
INDIO CA
92201-6739
US

IV. Provider business mailing address

2108 N ST # 15013
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 951-612-0999
  • Fax:
Mailing address:
  • Phone: 951-612-0999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: SAURABH KUMAR
Title or Position: PRESIDENT
Credential: MD
Phone: 951-612-0999