Provider Demographics
NPI:1356550909
Name:KUMAR, STEPHEN KIRAN (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:KIRAN
Last Name:KUMAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:24785 STEWART ST
Mailing Address - Street 2:EVANS HALL, ROOM 101
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92350-0001
Mailing Address - Country:US
Mailing Address - Phone:909-558-7622
Mailing Address - Fax:909-558-4838
Practice Address - Street 1:24785 STEWART ST
Practice Address - Street 2:EVANS HALL, ROOM 101
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92350-0001
Practice Address - Country:US
Practice Address - Phone:909-558-7622
Practice Address - Fax:909-558-4838
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2021-11-29
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Provider Licenses
StateLicense IDTaxonomies
CAA986552083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine