Organization
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Active
Parent organization
BANNER MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER MEDICAL GROUP
Authorized official
SHIVA BIRDI (CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
9780 S ESTRELLA PKWY, GOODYEAR, AZ 85338-7114
(623) 474-8101
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
04/15/2026
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