Healthcare Provider Details

I. General information

NPI: 1497863179
Provider Name (Legal Business Name): ATEF MOHTY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10250 N 92ND ST SUITE 110 HAND AND UPPER EXTREMITY SPECIALISTS PC
SCOTTSDALE AZ
85258-4518
US

IV. Provider business mailing address

10250 N 92ND ST SUITE 110
SCOTTSDALE AZ
85258-4518
US

V. Phone/Fax

Practice location:
  • Phone: 480-551-7083
  • Fax: 480-551-7082
Mailing address:
  • Phone: 480-551-7083
  • Fax: 480-551-7082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number23842
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: