Individual
PRADEEP KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC FSCAI
Contact information
Practice address
1900 MOWRY AVE, SUITE 309, FREMONT, CA 94538-1722
(510) 790-9300
(510) 790-9301
Mailing address
1900 MOWRY AVE, SUITE 309, FREMONT, CA 94538-1722
(510) 790-9300
(510) 790-9301
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A62416
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A624160
—
CA
Enumeration date
09/07/2006
Last updated
06/27/2013
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