Individual
HAITHAM M HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10250 N 92ND ST, SUITE 202, SCOTTSDALE, AZ 85258-4510
(480) 237-5727
(480) 657-3207
Mailing address
10250 N 92ND ST, SUITE 202, SCOTTSDALE, AZ 85258-4510
(480) 237-5727
(480) 657-3207
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1922
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034060
—
AZ
01
—
P00351756
RAILROAD MEDICARE
AZ
Enumeration date
01/18/2006
Last updated
03/11/2008
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