Healthcare Provider Details

I. General information

NPI: 1467623058
Provider Name (Legal Business Name): STEP BY STEP PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2008
Last Update Date: 10/23/2023
Certification Date: 10/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5680 W CHANDLER BLVD STE 3
CHANDLER AZ
85226-3342
US

IV. Provider business mailing address

5680 W CHANDLER BLVD STE 3
CHANDLER AZ
85226-3342
US

V. Phone/Fax

Practice location:
  • Phone: 480-776-0440
  • Fax:
Mailing address:
  • Phone: 480-776-0440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1477683985
Identifier TypeOTHER
Identifier StateAZ
Identifier IssuerNPI
# 2
Identifier1376547331
Identifier TypeOTHER
Identifier StateAZ
Identifier IssuerNPI
# 3
Identifier1124022165
Identifier TypeOTHER
Identifier StateAZ
Identifier IssuerNPI
# 4
Identifier1982608907
Identifier TypeOTHER
Identifier StateAZ
Identifier IssuerNPI

VIII. Authorized Official

Name: DR. ASEEMA PANI MAHER
Title or Position: VICE PRESIDENT
Credential: M.D.
Phone: 480-776-0440