Provider Demographics
NPI:1215318381
Name:SARKAR, AWNIK KUMAR (DO)
Entity type:Individual
Prefix:DR
First Name:AWNIK
Middle Name:KUMAR
Last Name:SARKAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13090 N 94TH DR STE 212
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4258
Mailing Address - Country:US
Mailing Address - Phone:833-578-7246
Mailing Address - Fax:602-714-7176
Practice Address - Street 1:13090 N 94TH DR STE 212
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4258
Practice Address - Country:US
Practice Address - Phone:833-578-7246
Practice Address - Fax:602-714-7176
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-15
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102205874207L00000X
MI5101021595207L00000X
TXS7332207LP2900X
AZ010006207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology