Moustafa Banna (NPI# 1003009861, PAC ID# 1658525894) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1003009861 |
| PAC ID by PECOS | 1658525894 |
| Professional Enrollment ID | I20130215000495 |
| Full Name | Moustafa Banna |
| Organization Legal Name | PHOENIX HEART PLLC |
| Address |
5859 W Talavi Blvd Suite 100 Glendale AZ 85306-1870 |
| Phone Number | 6022987777 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 7113906421 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030089 | BANNER THUNDERBIRD MEDICAL CENTER |
| 030094 | ARROWHEAD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 | 6022987777 | PHOENIX HEART PLLC |
| 13090 N 94th Dr, Suite 210, Peoria, AZ 85381-4258 | 6239306000 | PHOENIX HEART PLLC |
| Organization Legal Name | PHOENIX HEART PLLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajul I Patel | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| G Reshmaal Gomes Cumaranatunge | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Punit Parasher | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Shakeel Osman Khan | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Sanjiv G Faldu | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Amarnauth Singh | Cardiac Electrophysiology | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Deepak Khosla | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Kristine A Sellberg | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Fred H Cucher | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Vinny K Ram | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Street Address |
5859 W TALAVI BLVD SUITE 100 |
| City | GLENDALE |
| State | AZ |
| Zip | 85306-1870 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajul I Patel | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| G Reshmaal Gomes Cumaranatunge | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Punit Parasher | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Shakeel Osman Khan | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Sanjiv G Faldu | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Amarnauth Singh | Cardiac Electrophysiology | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Deepak Khosla | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Kristine A Sellberg | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Fred H Cucher | Cardiovascular Disease (cardiology) | Phoenix Heart Pllc | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Mohammad J Khan | Anesthesiology | Ambulatory Anesthesia LLC | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1870 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hassan Akinbiyi | Physical Medicine and Rehabilitation | Integrated Rehab Consultants LLC | 16825 N 63rd Ave, Glendale, AZ 85306-1001 |
| Thomas J Parks | Physical Medicine and Rehabilitation | Integrated Rehab Consultants LLC | 16825 N 63rd Ave, Glendale, AZ 85306-1001 |
| Veronica Linn | Nurse Practitioner | Asap Health Solutions Inc | 16825 N 63rd Ave, Glendale, AZ 85306-1001 |
| Jason B Smith | Physical Therapy | Ati Holdings of Arizona, LLC | 18561 59th Ave, Suite 117, Scottsdale, AZ 85306-1257 |
| Janice G Johnston | Family Medicine | Arrowhead Family Health Center PC | 16390 N 59th Ave, Suite 200, Glendale, AZ 85306-1703 |
| Jaime L Maratta | Nurse Practitioner | Arrowhead Family Health Center PC | 16390 N 59th Ave, Suite 200, Glendale, AZ 85306-1703 |
| Margaret E Younge | Nurse Practitioner | Arrowhead Family Health Center PC | 16390 N 59th Ave, Suite 200, Glendale, AZ 85306-1703 |
| Julie Taylor Zafuto | Nurse Practitioner | Arrowhead Family Health Center PC | 16390 N 59th Ave, Suite 200, Glendale, AZ 85306-1703 |
| Robert F West | Internal Medicine | Arrowhead Family Health Center PC | 16390 N 59th Ave, Suite 200, Glendale, AZ 85306-1703 |
| Lisa M Knowlton | Nurse Practitioner | Arrowhead Family Health Center PC | 16390 N 59th Ave, Suite 200, Glendale, AZ 85306-1703 |
| Find all physicians in zip 85306 | |||
| City | GLENDALE |
| Zip Code | 85306 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | GLENDALE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Moustafa Banna.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.