Healthcare Provider Details

I. General information

NPI: 1154632636
Provider Name (Legal Business Name): MUHAMMAD UMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2010
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2933 UNIVERSITY AVE
RIVERSIDE CA
92507-4243
US

IV. Provider business mailing address

2933 UNIVERSITY AVE
RIVERSIDE CA
92507-4243
US

V. Phone/Fax

Practice location:
  • Phone: 951-224-8220
  • Fax: 951-241-7290
Mailing address:
  • Phone: 951-224-8220
  • Fax: 951-241-7290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberA122878
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA122878
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: