OrganizationActive
Banner Physician Specialists Arizona LLC
NPI 1649908831 · Nutrition Education Nutritionist · Chandler, AZ
Provider details
- NPI number
- 1649908831
- Entity type
- Organization
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Parent organization
- Banner Medical Group
- Organization subpart
- Yes
- Authorized official
- Shiva Birdi, Ceo/Bmg(602) 747-4000
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Practice location
1125 S Alma School Rd Ste 210
Chandler, AZ 85286-2811
Phone: (480) 733-7300
Fax: (480) 564-2611
Approximate (ZIP-level) locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2022-08-15
- Last updated
- 2022-08-15
- Certified
- 2022-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.