Banner - University Hospital Based Physicians LLC
Clinic/Center, Radiology in Phoenix, AZ. Organization (NPI-2).
NPI number1992497051
StatusActive
Last updated in NPPESMay 25, 2023
Details
- NPI
- 1992497051
- Entity type
- Organization (NPI-2)
- Legal business name
- Banner - University Hospital Based Physicians LLC
- Organization subpart
- Yes
- Enumeration date
- May 25, 2023
- Certification date
- May 16, 2023
- Last updated
- May 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | – | Yes |
| 282N00000X | General Acute Care Hospital | – | – |
Practice location
1111 E Mcdowell RdPhoenix, AZ 85006-2612
Phone 602-839-2000
Mailing address
2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone 602-747-4000
Authorized official
Venkata Evani
Ceo
6022581519
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