OrganizationActive
Banner Physician Specialists Arizona LLC
NPI 1992433197 · Nutrition Education Nutritionist · Phoenix, AZ
Provider details
- NPI number
- 1992433197
- Entity type
- Organization
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Parent organization
- Banner Medical Group
- Authorized official
- Shiva Birdi, Ceo/Bmg
Practice location
4375 E Irma Ln
Phoenix, AZ 85050-4312
Phone: (480) 890-5800
Fax: (480) 890-5920
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2022-08-15
- Last updated
- 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.