Provider Demographics
NPI:1124335179
Name:SAWKAR, ANISHA ARVIND (MD)
Entity type:Individual
Prefix:
First Name:ANISHA
Middle Name:ARVIND
Last Name:SAWKAR
Suffix:
Gender:F
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:APT 3 GUEST HOUSE ST JOHNS HOSPITAL STAFF QUARTERS
Mailing Address - Street 2:KORMANGALA
Mailing Address - City:BANGALORE
Mailing Address - State:KARNATAKA
Mailing Address - Zip Code:560034
Mailing Address - Country:IN
Mailing Address - Phone:934-243-3963
Mailing Address - Fax:
Practice Address - Street 1:APT 3 GUEST HOUSE ST JOHNS HOSPITAL STAFF QUARTERS
Practice Address - Street 2:KORMANGALA
Practice Address - City:BANGALORE
Practice Address - State:KARNATAKA
Practice Address - Zip Code:560034
Practice Address - Country:IN
Practice Address - Phone:934-243-3963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-10
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1-00375452085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology