Healthcare Provider Details

I. General information

NPI: 1982942579
Provider Name (Legal Business Name): HAND & UPPER EXTREMITY SPECIALISTS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2013
Last Update Date: 01/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

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

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: DR. ATEF NMI MOHTY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 480-551-7083