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
Practitioners 1
-
William C Fife, MD
National Provider Directory
- Part of
- M E Lee MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Banner - University Hospital Based Physicians LLC
- Banner - University Hospital Based Physicians LLC
- Banner - University Hospital Based Physicians LLC
- Banner - University Hospital Based Physicians LLC
- Banner - University Hospital Based Physicians LLC
- Banner - University Hospital Based Physicians LLC
- Banner - University Hospital Based Physicians LLC
- Banner - University Hospital Based Physicians LLC
- Banner - University Hospital Based Physicians LLC
- Banner - University Hospital Based Physicians LLC
All providers in Phoenix, AZ · Radiology Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.