IndividualActive
Chantay Banikarim, M.D.
NPI 1699884890 · Pediatric Adolescent Medicine Physician · Phoenix, AZ
Provider details
- NPI number
- 1699884890
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 30080 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
222 W Thomas Rd
Suite 301
Phoenix, AZ 85013-4419
Phone: (602) 406-4772
Approximate (ZIP-level) locationGet directions
Mailing address
File 56765
Los Angeles, CA 90074-6765
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2012-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.