Provider Demographics
NPI:1346314010
Name:ALLERGY ASSOCIATES & ASTHMA, LTD
Entity Type:Organization
Organization Name:ALLERGY ASSOCIATES & ASTHMA, LTD
Other - Org Name:ASPIRE ALLERGY & SINUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:ANAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-838-4296
Mailing Address - Street 1:5929 BALCONES DR STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4280
Mailing Address - Country:US
Mailing Address - Phone:512-689-4703
Mailing Address - Fax:877-647-0202
Practice Address - Street 1:1006 E GUADALUPE RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3047
Practice Address - Country:US
Practice Address - Phone:480-838-4296
Practice Address - Fax:480-820-1275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ308158Medicaid
AZ308158Medicaid
AZ321159Medicaid
AZD463561Medicare UPIN
AZG28178Medicare UPIN
AZWCKKV01Medicare ID - Type Unspecified
AZ64699Medicare ID - Type Unspecified
AZ214940Medicaid
AZ536724Medicaid
AZZ73554Medicare UPIN
AZ492075Medicaid
AZG28925Medicare UPIN