Healthcare Provider Details

I. General information

NPI: 1336674969
Provider Name (Legal Business Name): BOBBY KARANDEEP SINGH BRAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2017
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3637 ARLINGTON AVE STE 202
RIVERSIDE CA
92506-3923
US

IV. Provider business mailing address

3637 ARLINGTON AVE STE E202
RIVERSIDE CA
92506-3923
US

V. Phone/Fax

Practice location:
  • Phone: 951-683-4675
  • Fax:
Mailing address:
  • Phone: 951-683-4675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD91335
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: