Healthcare Provider Details

I. General information

NPI: 1760661433
Provider Name (Legal Business Name): ONKAR S BHOWRA MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2007
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7725 N 43RD AVE STE 311
PHOENIX AZ
85051-5784
US

IV. Provider business mailing address

PO BOX 47090
PHOENIX AZ
85068-7090
US

V. Phone/Fax

Practice location:
  • Phone: 602-550-4065
  • Fax:
Mailing address:
  • Phone: 602-550-4065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ONKAR S BHOWRA
Title or Position: OWNER
Credential: MD
Phone: 602-550-4065