Healthcare Provider Details

I. General information

NPI: 1346314010
Provider Name (Legal Business Name): ALLERGY ASSOCIATES & ASTHMA, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 E GUADALUPE RD
TEMPE AZ
85283-3047
US

IV. Provider business mailing address

5929 BALCONES DR STE 200
AUSTIN TX
78731-4280
US

V. Phone/Fax

Practice location:
  • Phone: 480-838-4296
  • Fax: 480-820-1275
Mailing address:
  • Phone: 512-689-4703
  • Fax: 877-647-0202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: MIRIAM KATHRYN ANAND
Title or Position: PRESIDENT
Credential: MD
Phone: 480-838-4296