OrganizationActive
Banner Hospital Based Physicians Colorado LLC
NPI 1407617236 · Critical Care Medicine (Internal Medicine) Physician · Phoenix, AZ
Provider details
- NPI number
- 1407617236
- Entity type
- Organization
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Banner Health
- Organization subpart
- Yes
- Authorized official
- Shiva Birdi, Ceo Bmg(602) 747-4000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone: (602) 747-4000
Approximate (ZIP-level) locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2024-01-18
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.