MEDICARE: DR. KATHLEEN A HANDAL MD

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	207P00000X	Emergency Medicine Physician	16154	AZ

General Provider Information

NPI Number	:	1457666935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHLEEN A HANDAL MD

Provider Business Mailing Address
First Line	:	8390 E VIA DE VENTURA
Second Line	:	#F110
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-3188
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8390 E VIA DE VENTURA
Second Line	:	#F110
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-3188
Country	:	US
Telephone Number	:	602-771-7293
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2010
Last Update Date	:	08/09/2010

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