Provider Demographics
NPI:1295777886
Name:ALTER-PANDYA, AMY SUE (DO)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:SUE
Last Name:ALTER-PANDYA
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:2500 W UTOPIA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4172
Mailing Address - Country:US
Mailing Address - Phone:623-683-4462
Mailing Address - Fax:303-293-3977
Practice Address - Street 1:1626 S PRIEST DR STE 104
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-6598
Practice Address - Country:US
Practice Address - Phone:480-882-7320
Practice Address - Fax:480-967-7920
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2025-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ011405207Q00000X
CO36180207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO74321510Medicaid
COH34186Medicare UPIN