Healthcare Provider Details

I. General information

NPI: 1639167372
Provider Name (Legal Business Name): ARUN KUMAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 04/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 SAMUEL DR
YUBA CITY CA
95991-6325
US

IV. Provider business mailing address

PO BOX A D
YUBA CITY CA
95992-1396
US

V. Phone/Fax

Practice location:
  • Phone: 530-674-9200
  • Fax: 520-674-5667
Mailing address:
  • Phone: 530-751-3769
  • Fax: 530-751-1237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA64907
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA64907
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: