Randa M Kutob (NPI# 1326145889, PAC ID# 2567591720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1326145889 |
| PAC ID by PECOS | 2567591720 |
| Professional Enrollment ID | I20100526000498 |
| Full Name | Randa M Kutob |
| Organization Legal Name | BANNER UNIVERSITY MEDICAL GROUP |
| Address |
1501 N Campbell Ave Tucson AZ 85724-0001 |
| Gender | M |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719899871 |
| Number of Group Practice Members | 693 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030111 | BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 1501 N Campbell Ave, Tucson, AZ 85724-0001 | BANNER UNIVERSITY MEDICAL GROUP |
| Organization Legal Name | BANNER UNIVERSITY MEDICAL GROUP |
| Physicians | 732 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Lynn Salce | Nurse Practitioner | Banner University Medical Group | 3838 N Campbell Ave, Tucson, AZ 85719-1478 |
| Ritika Ohri | Nephrology | Banner University Medical Group | 2802 E District St 1st Flr, Univ Medicine Crisis Response, Tucson, AZ 85714-2081 |
| Hongyun June Zhu | Nuclear Medicine | Banner University Medical Group | 1501 N Campbell Ave, Suite 3324, Tucson, AZ 85724-0001 |
| Ashley F Krauser | Family Medicine | Banner University Medical Group | 7901 E 22nd St, Tucson, AZ 85710-8509 |
| Kyle Adam Suhr | Psychologist, Clinical | Banner University Medical Group | 535 N Wilmot Rd 2nd Flr, Whole Health Clinic, Tucson, AZ 85711-2600 |
| Lindsey R Trutter | Internal Medicine | Banner University Medical Group | 1501 N Campbell Ave Room, Tucson, AZ 85724-0001 |
| Emily S De La Rosa | Nurse Practitioner | Banner University Medical Group | 707 N Alvernon Way, Suite 101, Tucson, AZ 85711-1830 |
| Elizabeth K Meehan | Family Medicine | Banner University Medical Group | 3950 S Country Club Rd, Suite 130, Tucson, AZ 85714-2203 |
| Stephanie L Jones | Nurse Practitioner | Banner University Medical Group | 1141 S La Canada Dr, Green Valley, AZ 85614-1945 |
| Jennifer L Pappalardo | Podiatry | Banner University Medical Group | 2800 E Ajo Way, Tucson, AZ 85713-6204 |
| Street Address |
1501 N CAMPBELL AVE |
| City | TUCSON |
| State | AZ |
| Zip | 85724-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hongyun June Zhu | Nuclear Medicine | Banner University Medical Group | 1501 N Campbell Ave, Suite 3324, Tucson, AZ 85724-0001 |
| Naomi E Rance | Pathology | Banner University Medical Group | 1501 N Campbell Ave, Tucson, AZ 85724-0001 |
| Tejo K Vemulapalli | Internal Medicine | Banner University Medical Group | 1501 N Campbell Ave, Tucson, AZ 85724-0001 |
| Ryan Townley Mcgrath | Internal Medicine | Banner University Medical Group | 1501 N Campbell Ave, Tucson, AZ 85724-0001 |
| Amy S Klein | Hospice/palliative Care | Banner University Medical Group | 1501 N Campbell Ave, Rm 3401, Tucson, AZ 85724-0001 |
| Jennifer H Otto | Nurse Practitioner | Banner University Medical Group | 1501 N Campbell Ave, Tucson, AZ 85724-0001 |
| George T Fantry | Gastroenterology | Banner University Medical Group | 1501 N Campbell Ave, Tucson, AZ 85724-0001 |
| Saif Arsan Mashaqi | Internal Medicine | Banner University Medical Group | 1501 N Campbell Ave, Tucson, AZ 85724-0001 |
| Helayne Rachel Feferman | Pediatric Medicine | Banner University Medical Group | 1501 N Campbell Ave, Rm 3401, Tucson, AZ 85724-0001 |
| Katherine E Whitney | Nurse Practitioner | Banner University Medical Group | 1501 N Campbell Ave, Tucson, AZ 85724-0001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey R Trutter | Internal Medicine | Banner University Medical Group | 1501 N Campbell Ave Room, Tucson, AZ 85724-0001 |
| Robyn J Meyer | Pediatric Medicine | Banner University Medical Group | 1605 N Campbell Ave, Tucson, AZ 85724-0001 |
| Jennifer L Plitt | Emergency Medicine | Banner University Medical Group | 1501 N Campbell Ave, Tucson, AZ 85724-0001 |
| Sara R Perotti | Nurse Practitioner | Banner University Medical Group | 1501 N Campbell Ave, Tucson, AZ 85724-0001 |
| Lilah F Morris-wiseman | Surgical Oncology | Banner University Medical Group | 1501 N Campbell Ave, Tucson, AZ 85724-0001 |
| Bhupinder S Natt | Pulmonary Disease | Banner University Medical Group | 1501 N Campbell Ave, Tucson, AZ 85724-0001 |
| Nancy Y Chen | Hospitalist | Banner University Medical Group | 1501 N Campbell Ave, Tucson, AZ 85724-0001 |
| Salma I Patel | Sleep Medicine | Banner University Medical Group | 1501 N Campbell Ave, Tucson, AZ 85724-0001 |
| Heather Cassell | Allergy/immunology | Banner University Medical Group | 1501 N Campbell Ave, Tucson, AZ 85724-0001 |
| Robert N E French | Emergency Medicine | Banner University Medical Group | 1501 N Campbell Ave, Tucson, AZ 85724-0001 |
| Find all physicians in zip 85724 | |||
| City | TUCSON |
| Zip Code | 85724 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TUCSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Randa M Kutob.
| 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.