| Ghada Raban, MD | |
|
37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 | |
| (480) 394-4248 | |
| (480) 394-4718 |
| Full Name | Ghada Raban |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 37000 N Gantzel Rd, San Tan Valley, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336109529 | NPI | - | NPPES |
| P00085971 | Other | AZ | RR MEDICARE |
| 83011802 | Medicaid | AZ | |
| AZ0745510 | Other | AZ | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 32276 (Arizona) | Secondary |
| 208M00000X | Hospitalist | 32276 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Ironwood Medical Center | Queen creek, AZ | Hospital |
| Banner Goldfield Medical Center | Apache junction, AZ | Hospital |
| Banner Desert Medical Center | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 636 |
| Entity Name | Banner Cancer Center Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224 |
| Entity Name | Cogent Healthcare of Arizona PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568758266 PECOS PAC ID: 0648441006 Enrollment ID: O20110915000843 |
| Entity Name | Banner Hospital Based Physicians Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Ghada Raban, MD 1900 N Higley Road, Attn: Hospitalists, Gilbert, AZ 85234 Ph: (480) 543-2034 | Ghada Raban, MD 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 Ph: (480) 394-4248 |