MEDICARE: ACUTE CARE HAND SPECIALISTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0105X	Surgery of the Hand (Surgery) Physician

General Provider Information

NPI Number	:	1295691483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACUTE CARE HAND SPECIALISTS LLC

Provider Business Mailing Address
First Line	:	4727 E BELL RD STE 45-287
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-2308
Country	:	US
Telephone Number	:	602-996-4747
Fax Number	:	602-953-5466

Provider Business Practice Location Address
First Line	:	4727 E BELL RD STE 45-287
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-2308
Country	:	US
Telephone Number	:	602-996-4747
Fax Number	:	602-953-5466

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALICIA MANGRAM
Credential	:	MD
Telephone Number	:	602-996-4747

Provider Enumeration Date	:	12/31/2025
Last Update Date	:	03/11/2026

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