Individual provider · NPI-1
Radhika Shukla Bowes, DO
Hospitalist · Sun City, AZ
NPI number1174970636
StatusActive
Last updated in NPPESDec 2, 2020
Details
- NPI
- 1174970636
- Entity type
- Individual (NPI-1)
- Name
- Radhika Shukla Bowes
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 15, 2016
- Certification date
- Nov 30, 2020
- Last updated
- Dec 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | OS13983 | FL | Yes |
| 207R00000X | Internal Medicine | OS13983 | FL |
Other names
- Radhika Pankaj Shukla (Former Name)
Practice location
10401 W Thunderbird BlvdSun City, AZ 85351-3004
Phone 623-832-4728
Mailing address
6800 E Mayo Blvd Apt 5308Phoenix, AZ 85054-5636
Phone 512-228-2456
Other practice locations
14502 W Meeker Blvd
Sun City West, AZ 85375-5282
Sun City West, AZ 85375-5282
Phone 623-524-8814
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