Individual
MANDEEP POWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1775 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-6549
(928) 453-0696
(928) 453-3660
Mailing address
1775 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-6549
(928) 453-0696
(928) 453-0816
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24843
AZ
208VP0000X
Pain Medicine Physician
Primary
24843
AZ
Other
Enumeration date
08/11/2005
Last updated
09/08/2021
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