OrganizationActive
Banner - University Hospital Based Physicians LLC
NPI 1790564672 · Radiology Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1790564672
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Health
- Organization subpart
- Yes
- Authorized official
- Venkata Evani, Ceo(602) 839-2000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone: (602) 839-2000
Approximate (ZIP-level) locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2023-09-28
- Last updated
- 2023-09-28
- Certified
- 2023-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.