Provider Demographics
NPI:1235170093
Name:ASHAR, ANUPA R (MD)
Entity Type:Individual
Prefix:
First Name:ANUPA
Middle Name:R
Last Name:ASHAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANUPA
Other - Middle Name:R
Other - Last Name:MAMANIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3920 S ALMA SCHOOL RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248
Mailing Address - Country:US
Mailing Address - Phone:480-855-8700
Mailing Address - Fax:480-855-8701
Practice Address - Street 1:3920 S ALMA SCHOOL RD
Practice Address - Street 2:SUITE 8
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248
Practice Address - Country:US
Practice Address - Phone:480-855-8700
Practice Address - Fax:480-855-8701
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27707207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ111129OtherMEDICARE ID