Sanjay S Bommakanti
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC


Address: 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612
Phone: 6028396260

Sanjay S Bommakanti (NPI# 1114111002, PAC ID# 9335233063) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1114111002
PAC ID by PECOS 9335233063
Professional Enrollment ID I20070925000628
Full Name Sanjay S Bommakanti
Organization Legal Name BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
Address 1111 E Mcdowell Rd
Phoenix
AZ 85006-2612
Phone Number 6028396260
Gender M
Graduation Year 2002
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 3274782487
Number of Group Practice Members 341
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
030115 BANNER ESTRELLA MEDICAL CENTER

Other Locations

Address Phone Organization
700 N Estrella Pkwy, Suite 130, Goodyear, AZ 85338-9329 6233222144 PEBBLE CREEK MEDICAL GROUP PLLC
1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 6028396260 BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
9201 W Thomas Rd, Phoenix, AZ 85037-3332 6233274000 BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
9201 W Thomas Rd, Phoenix, AZ 85037-3332 6024106951 PEBBLE CREEK MEDICAL GROUP PLLC

Organization Information

Organization Legal Name BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
Physicians 349

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Vidyasagargoud Marupakula Internal Medicine Banner Hospital Based Physicians Arizona LLC 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612
Sanjay B Kulkarni Internal Medicine Banner Hospital Based Physicians Arizona LLC 807 S Ponderosa St, Payson, AZ 85541-5542
Raymond L Holsten Family Medicine Banner Hospital Based Physicians Arizona LLC 501 N Navajo, Page, AZ 86040
Emmanuel A Bayongan Critical Care (intensivists) Banner Hospital Based Physicians Arizona LLC 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612

Office Location

Street Address 1111 E MCDOWELL RD
City PHOENIX
State AZ
Zip 85006-2612

Physicians in the same location

Name Specialty Organization Address
Vidyasagargoud Marupakula Internal Medicine Banner Hospital Based Physicians Arizona LLC 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612
Carrie L Cook Emergency Medicine Emergency Professional Services PC 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612
Michael Gary Keeney Pathology Pathology Specialist of Arizona, LLP 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612
Dana Archbold Internal Medicine Banner - University Hospital Based Physicians LLC 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612
Emmanuel A Bayongan Critical Care (intensivists) Banner Hospital Based Physicians Arizona LLC 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612
Abhilash P Nambiar Radiation Oncology Radiation Oncologists of Central Arizona 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612
Diana L Dabell Emergency Medicine Emergency Professional Services PC 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612
Sajith F Joseph Internal Medicine Banner - University Hospital Based Physicians LLC 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612
Leslie A Welk Diagnostic Radiology Banner - University Hospital Based Physicians LLC 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612
Sara C Stimsonriahi Internal Medicine Banner - University Hospital Based Physicians LLC 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612
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Larry Lawayne Minor Nurse Practitioner Asap Health Solutions Inc 1750 E Windsor Ave, Phoenix, AZ 85006-1237
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Christopher M Fecarotta Ophthalmology Phoenix Children's Hospital 1920 E Cambridge Ave, Phoenix, AZ 85006-1459
James L Plotnik Ophthalmology Phoenix Children's Hospital 1920 E Cambridge Ave, Phoenix, AZ 85006-1459
Robert B Bailey Urology Phoenix Children's Hospital 1920 E Cambridge Ave, Phoenix, AZ 85006-1459
Amanda Marie Campos Endocrinology Phoenix Children's Hospital 1920 E Cambridge Ave, Phoenix, AZ 85006-1459
Richard L Golub Ophthalmology Phoenix Children's Hospital 1920 E Cambridge Ave, Phoenix, AZ 85006-1459
Reeti Chawla Endocrinology Phoenix Children's Hospital 1920 E Cambridge Ave, Phoenix, AZ 85006-1459
Martin A Turman Nephrology Phoenix Children's Hospital 1920 E Cambridge Ave, Phoenix, AZ 85006-1459
Michael L Ritchey Urology Phoenix Children's Hospital 1920 E Cambridge Ave, Phoenix, AZ 85006-1459
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Competitor

Search similar physicians

City PHOENIX
Zip Code 85006
Specialty INTERNAL MEDICINE
City + Specialty PHOENIX + INTERNAL MEDICINE

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Dataset Information

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.

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