Search › Arizona › 207P00000X
Jordan Shank, MD
NPI 1265995328 · on the registry since 2019
Practice
- Address
- 1111 E Mcdowell Rd
Phoenix, AZ 85006 - Phone
- (602) 839-2000
- Organisation at this address
- Banner Health
Banner Health
Anita R Ramaiah Md
Banner Family Pharmacy
Peter P. Mckellar Md, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 546
Additional practice sites
- 1901 Sw H K Dodgen Loop, Temple, TX
- 4002 Vista Way, Oceanside, CA
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
207P00000X
390200000X - Licence states on file
- TX, CA, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona