Provider Demographics
NPI:1154583847
Name:BHUGRA, PARAMVEER (MD)
Entity type:Individual
Prefix:DR
First Name:PARAMVEER
Middle Name:
Last Name:BHUGRA
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 1:14955 W BELL RD #8270
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374
Mailing Address - Country:US
Mailing Address - Phone:917-972-1795
Mailing Address - Fax:623-249-5181
Practice Address - Street 1:14961 W BELL RD
Practice Address - Street 2:SUITE 175
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3200
Practice Address - Country:US
Practice Address - Phone:623-242-9830
Practice Address - Fax:623-243-6733
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ44175207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ602429Medicaid
Z177874OtherMEDICARE PIN