Banner - University Hospital Based Physicians LLC

Organization Active NPI Radiology Clinic/Center · Phoenix, AZ

NPI 1235973017 · NPPES record last updated Jun 25, 2024

Key facts

NPI
1235973017
Entity type
Organization (NPI type 2)
Primary specialty
Radiology Clinic/Center 261QR0200X
Legal business name
BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC
Practice address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone
(602) 747-4000
NPI assigned
Jun 25, 2024
Organization subpart
Yes
Parent organization (as reported)
BANNER HEALTH

Authorized official

Name
Venkata Evani
Title
President
Phone
(602) 747-4000

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Part of
M E Lee MD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Yes

Addresses

Primary practice location

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone (602) 747-4000

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Radiology Clinic/Center in Arizona

Sources for this page

Verify at the official NPI Registry.