Provider Demographics
NPI:1740443464
Name:ARIAS-PANDEY, ANA ISABEL (MD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:ISABEL
Last Name:ARIAS-PANDEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 602108
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2108
Mailing Address - Country:US
Mailing Address - Phone:842-792-6200
Mailing Address - Fax:
Practice Address - Street 1:1952 LONG GROVE DR STE 202
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-7579
Practice Address - Country:US
Practice Address - Phone:843-971-2992
Practice Address - Fax:843-971-2998
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL30356208000000X
SC30956208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC309561Medicaid