Provider Demographics
NPI:1497863179
Name:MOHTY, ATEF (MD)
Entity Type:Individual
Prefix:
First Name:ATEF
Middle Name:
Last Name:MOHTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10250 N 92ND ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4518
Mailing Address - Country:US
Mailing Address - Phone:480-551-7083
Mailing Address - Fax:480-551-7082
Practice Address - Street 1:10250 N 92ND ST
Practice Address - Street 2:SUITE 110 HAND AND UPPER EXTREMITY SPECIALISTS PC
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4518
Practice Address - Country:US
Practice Address - Phone:480-551-7083
Practice Address - Fax:480-551-7082
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ23842207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ12571702Medicaid
AZ0862920OtherBLUE CROSS BLUE SHIELD
AZ12571702Medicaid
AZ0862920OtherBLUE CROSS BLUE SHIELD