Provider Demographics
NPI:1760661433
Name:ONKAR S BHOWRA MD PC
Entity Type:Organization
Organization Name:ONKAR S BHOWRA MD PC
Other - Org Name:ONKAR BHOWRA MD
Other - Org Type:Doing Business As
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:623-977-3300
Mailing Address - Street 1:14815 N DEL WEBB BLVD
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351
Mailing Address - Country:US
Mailing Address - Phone:623-977-3300
Mailing Address - Fax:623-977-6808
Practice Address - Street 1:14815 N DEL WEBB BLVD
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351
Practice Address - Country:US
Practice Address - Phone:623-977-3300
Practice Address - Fax:623-977-6808
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:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16317261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0322810OtherBLUE CROSS
AZ258518Medicaid
AZ110017075OtherRAILROAD MEDICARE
AZZWCLGHOtherMEDICARE
AZC99136Medicare UPIN
AZZWCLGHOtherMEDICARE