Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Banner Physician Specialists Arizona LLC

Organization Nutrition Education Nutritionist · NPI 1992433197

Banner Physician Specialists Arizona LLC is a Nutrition Education Nutritionist in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4375 E Irma Ln
Phoenix, AZ 85050-4312
Phone: (480) 890-5800
Fax: (480) 890-5920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Education Nutritionist (primary) Taxonomy 133NN1002X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1992433197
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBanner Medical Group
Authorized official Shiva Birdi — Ceo/Bmg · (602) 747-4000
NPI enumeratedAugust 15, 2022
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022
Mailing address2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702

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