Healthcare Provider Details

I. General information

NPI: 1275190894
Provider Name (Legal Business Name): ZANA ALATTAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2019
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7351 E OSBORN RD STE 200B
SCOTTSDALE AZ
85251-6451
US

IV. Provider business mailing address

1441 N 12TH ST
PHOENIX AZ
85006-2837
US

V. Phone/Fax

Practice location:
  • Phone: 480-882-5730
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number77468
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: