| Hoda E Hannallah, MD | |
|
625 N Plaza Dr, Apache Junction, AZ 85120-5501 | |
| (480) 983-0065 | |
| (480) 288-5339 |
| Full Name | Hoda E Hannallah |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 625 N Plaza Dr, Apache Junction, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982634697 | NPI | - | NPPES |
| 513847 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25477 (Arizona) | Primary |
| Entity Name | Ehab Yacoub Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20210820002221 |
| Mailing Address | Practice Location Address |
|---|---|
| Hoda E Hannallah, MD Po Box 3160, Apache Junction, AZ 85117-4115 Ph: (480) 983-0065 | Hoda E Hannallah, MD 625 N Plaza Dr, Apache Junction, AZ 85120-5501 Ph: (480) 983-0065 |
Fred Barnett Lipovitch, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 625 N Plaza Dr, Apache Junction, AZ 85120 Phone: 480-983-0065 | |
Dr. Michael Howard Stumpf, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 625 N Plaza Dr, Apache Junction, AZ 85120 Phone: 480-983-0065 Fax: 480-671-4541 | |
Dr. Arthur Y Chou, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 625 N Plaza Dr, Apache Junction, AZ 85120 Phone: 480-487-2373 Fax: 480-983-3368 |