Provider Demographics
NPI:1184182370
Name:NEUROLOGY CONSULTANTS OF ARIZONA, LLC
Entity Type:Organization
Organization Name:NEUROLOGY CONSULTANTS OF ARIZONA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAYYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-853-6376
Mailing Address - Street 1:8415 N PIMA RD STE 150
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4483
Mailing Address - Country:US
Mailing Address - Phone:480-977-6844
Mailing Address - Fax:480-977-6845
Practice Address - Street 1:8415 N PIMA RD STE 150
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4483
Practice Address - Country:US
Practice Address - Phone:480-977-6844
Practice Address - Fax:480-977-6845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty