Healthcare Provider Details

I. General information

NPI: 1578142840
Provider Name (Legal Business Name): RAND HANNA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9260 E RAINTREE DR STE 120
SCOTTSDALE AZ
85260-7310
US

IV. Provider business mailing address

9260 E RAINTREE DR STE 120
SCOTTSDALE AZ
85260-7310
US

V. Phone/Fax

Practice location:
  • Phone: 602-730-4875
  • Fax: 623-257-2146
Mailing address:
  • Phone: 602-730-4875
  • Fax: 623-730-4875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number68982
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: