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

Shirin Ghanavatian

Individual provider Anesthesiology Physician · NPI 1568952141

Shirin Ghanavatian is an Anesthesiology in Phoenix, Arizona. Qualified in 2011, 15 years ago. Practices with Banner - University Hospital Based Physicians LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Arizona and Florida.

Years since qualifying
15
Licensed in
AZ, FL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2525 E Roosevelt St
Phoenix, AZ 85008-4948
Phone: (602) 737-6935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 72692 (AZ)
Anesthesiology Physician Taxonomy 207L00000X · Licence 160077 (FL)

Record details

NPI number1568952141
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2018
Last updated in NPPESOctober 17, 2024
Certification dateOctober 11, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Banner - University Hospital Based Physicians Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Phoenix