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

Dr. Irene T MA, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770801870

Dr. Irene T MA, MD is a Plastic and Reconstructive Surgery in Gilbert, Arizona. Graduated from University of New Mexico School of Medicine in 2009, 17 years ago. Practices with Banner Cancer Center Specialists LLC, a 338-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
17
Trained at
University of New Mexico School of Medicine
Licensed in
CA, PA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2940 E Banner Gateway Dr Ste 450
Gilbert, AZ 85234
Phone: (480) 256-6444
Fax: (480) 256-3682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 — (480) 301-8000
  • 300 Pasteur Dr, Stanford, CA 94305-2200 — (650) 723-4000

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence A158679 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT210927 (PA)

Record details

NPI number1770801870
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2010
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesSURGICAL ONCOLOGY
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Banner Cancer Center Specialists Llc — 338 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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