Healthcare Provider Details

I. General information

NPI: 1033813696
Provider Name (Legal Business Name): AMITIS KARRYS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33400 N 32ND AVE
PHOENIX AZ
85085-8876
US

IV. Provider business mailing address

33400 N 32ND AVE
PHOENIX AZ
85085-8876
US

V. Phone/Fax

Practice location:
  • Phone: 623-209-7598
  • Fax: 623-209-7598
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number012293
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: