Provider Demographics
NPI:1679075857
Name:SHAYYA LLC
Entity type:Organization
Organization Name:SHAYYA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAYYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-718-9241
Mailing Address - Street 1:10290 N 92ND ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4500
Mailing Address - Country:US
Mailing Address - Phone:480-718-9241
Mailing Address - Fax:480-718-9248
Practice Address - Street 1:10290 N 92ND ST STE 300
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4500
Practice Address - Country:US
Practice Address - Phone:480-718-9241
Practice Address - Fax:480-718-9248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-05
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty