Provider Demographics
NPI:1831192160
Name:SABHARWAL, UMESH KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:UMESH
Middle Name:KUMAR
Last Name:SABHARWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:UMESH
Other - Middle Name:K
Other - Last Name:SAB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:80 ARCH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-1487
Mailing Address - Country:US
Mailing Address - Phone:650-368-2371
Mailing Address - Fax:650-368-6872
Practice Address - Street 1:80 ARCH ST
Practice Address - Street 2:SUITE A
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1487
Practice Address - Country:US
Practice Address - Phone:650-368-2371
Practice Address - Fax:650-368-6872
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34184207R00000X, 207K00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA88055Medicare UPIN
CAZZZ31770ZMedicare PIN
CA00A341843Medicare PIN