Provider Demographics
NPI:1437230190
Name:SALWAN, ARVIND KUMAR (MD)
Entity Type:Individual
Prefix:MR
First Name:ARVIND
Middle Name:KUMAR
Last Name:SALWAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17450 MAIN ST
Mailing Address - Street 2:F
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-6298
Mailing Address - Country:US
Mailing Address - Phone:760-947-8231
Mailing Address - Fax:
Practice Address - Street 1:17450 MAIN ST
Practice Address - Street 2:F
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-6298
Practice Address - Country:US
Practice Address - Phone:760-947-8231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89019207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA830414213OtherTAX ID
CAI03486Medicare UPIN