Individual
HANY HANNALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10494 W THUNDERBIRD BLVD, SUITE 102, SUN CITY, AZ 85351-3058
(623) 537-5600
(623) 537-5601
Mailing address
3010 W AGUA FRIA FWY, SUITE 100, PHOENIX, AZ 85027-3943
(623) 537-5600
(623) 537-5601
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
25304
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165375
—
AZ
Enumeration date
05/25/2006
Last updated
07/22/2008
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