Provider Demographics
NPI:1760661433
Name:ONKAR S BHOWRA MD PC
Entity type:Organization
Organization Name:ONKAR S BHOWRA MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ONKAR
Authorized Official - Middle Name:S
Authorized Official - Last Name:BHOWRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-550-4065
Mailing Address - Street 1:PO BOX 47090
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85068-7090
Mailing Address - Country:US
Mailing Address - Phone:602-550-4065
Mailing Address - Fax:
Practice Address - Street 1:7725 N 43RD AVE STE 311
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-5784
Practice Address - Country:US
Practice Address - Phone:602-550-4065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONKAR S BHOWRA MD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-30
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ110017075OtherRAILROAD MEDICARE
AZ258518Medicaid
AZZWCLGHOtherMEDICARE
AZZWCLGHOtherMEDICARE
AZC99136Medicare UPIN
AZZWCLGHOtherMEDICARE