Provider Demographics
NPI:1942306535
Name:BHOWRA, ONKAR S (MD)
Entity type:Individual
Prefix:
First Name:ONKAR
Middle Name:S
Last Name:BHOWRA
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 1:14815 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 1:7725 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:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16317207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110017075OtherRAILROAD MEDICARE
AZZWCLGHOtherMEDICARE
AZ258518Medicaid
AZ258518Medicaid
AZZWCLGHOtherMEDICARE