| Banner Physician Super Specialists Arizona Llc | |
|
37100 N Gantzel Rd Ste 214 San Tan Valley AZ 85140-7353 | |
| (480) 412-9400 | |
| Not Available |
| Full Name | Banner Physician Super Specialists Arizona Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 37100 N Gantzel Rd Ste 214, San Tan Valley, Arizona |
| Authorized Official Name and Position | Shiva Birdi (CEO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Physician Super Specialists Arizona Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Physician Super Specialists Arizona Llc 37100 N Gantzel Rd Ste 214 San Tan Valley AZ 85140-7353 Ph: (480) 412-9400 |
| NPI Number | 1396014403 |
|---|---|
| Provider Enumeration Date | 12/19/2011 |
| Last Update Date | 04/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396014403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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