NPI
Banner Cancer Center Specialists Llc
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2018-06-14
- Last updated
- 2025-03-06
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 807 S Ponderosa St
- City
- Payson AZ
- Postal code
- 85541-5542
- Phone
- (928) 471-3222
Organization contact
- Name
- SHIVA BIRDI
- Title
- CEO
- Phone
- 6027474000
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Payson, AZ. 400 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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