Kumar, Samuel Prem

Kumar, Samuel Prem is an individual health care provider with primary practice located at 7117 Brockton Ave , Riverside CA 92506-2615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kumar, Samuel Prem can be contacted via phone (951) 782-3644.

Contact Information

Primary practice address
7117 Brockton Ave Riverside CA 92506-2615
Fax: (951) 784-3267
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X C42476 California

Profile Details

NPI number 1629050430
LBN Legal business name Kumar, Samuel Prem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Mar 17th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629050430 NPPES
Other 1730180415 GROUP NPI
Other ZZZ31887Z GROUP NPI

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