Healthcare Provider Details

I. General information

NPI: 1558322834
Provider Name (Legal Business Name): ASEEMA PANI MAHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASEEMA PANI MD

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
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 Number32613
License Number StateAZ

VII. Legacy identifiers

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

# 1
Identifier875429
Identifier TypeMEDICAID
Identifier StateAZ
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: