Provider Demographics
NPI:1003484346
Name:DUBE, UMBER (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:UMBER
Middle Name:
Last Name:DUBE
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8899 UNIVERSITY CENTER LANE
Mailing Address - Street 2:SUITE 350 MC 0975
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-1010
Mailing Address - Country:US
Mailing Address - Phone:858-657-1675
Mailing Address - Fax:
Practice Address - Street 1:8899 UNIVERSITY CENTER LANE
Practice Address - Street 2:SUITE 350 MC 0975
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-1010
Practice Address - Country:US
Practice Address - Phone:858-657-1675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021021426207R00000X
CA180038207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine