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

Banner Physician Super Specialists Arizona LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1386462810

Banner Physician Super Specialists Arizona LLC is a Durable Medical Equipment & Medical Supplies in Mesa, Arizona. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1432 S Dobson Rd Ste 304
Mesa, AZ 85202-4773
Phone: (480) 412-7400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1386462810
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBanner Health
Authorized official Shiva Birdi — Ceo Bmg · (602) 747-4000
NPI enumeratedOctober 2, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702

Other providers in Mesa