National Provider Identifier Database

BANNER CANCER CENTER SPECIALISTS LLC
Oncology

An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.


Contact Information

BANNER CANCER CENTER SPECIALISTS LLC
807 S PONDEROSA ST
PAYSON, AZ85541-5542
Phone: 928-471-3222
Fax: 928-472-3404
Website:
Specialty Taxonomy Code
* Oncology 261QX0200X

* Indicates primary specialty

NPI Profile & details for BANNER CANCER CENTER SPECIALISTS LLC

NPI Number 1588158448
Legal business name
LBN
BANNER CANCER CENTER SPECIALISTS LLC
Authorized official SHIVA BIRDI - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 06/14/2018
Last updated 03/06/2025 - More than a year 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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