Organization
BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
VENKATA EVANI (PRESIDENT)
(602) 747-4000
Entity
Organization
Contact information
Practice address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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