National Provider Identifier Database

BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
Multi-Specialty


Contact Information

BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
501 N NAVAJO
MAILING PO BOX 1447 PAGE 86040-1447
PAGE, AZ86040
Phone: 928-645-0112
Fax:
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC

NPI Number 1316294242
Legal business name
LBN
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
Authorized official SHIVA BIRDI - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 08/09/2012
Last updated 04/16/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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