Provider Demographics
NPI:1417189408
Name:COMPREHENSIVE ORTHOPEDICS, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE ORTHOPEDICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT - MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:HANY
Authorized Official - Middle Name:E
Authorized Official - Last Name:HANNALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA
Authorized Official - Phone:602-570-8628
Mailing Address - Street 1:PO BOX 55877
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85078-5877
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10595 N. TATUM BLVD.,
Practice Address - Street 2:SUITE E 142
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253
Practice Address - Country:US
Practice Address - Phone:602-570-8628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-10
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty