Organization
TOCA AT BANNER HEALTH LLC
Active
Organization
TOCA AT BANNER HEALTH 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
18700 N 64TH DR STE 205, GLENDALE, AZ 85308-7112
(602) 536-7480
(602) 533-4167
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
03/16/2020
Last updated
04/16/2026
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