| Gobran Shahla, | |
|
9139 W Thunderbird Rd Ste 275, Peoria, AZ 85381-4922 | |
| (623) 900-5181 | |
| (623) 900-5290 |
| Full Name | Gobran Shahla |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 9139 W Thunderbird Rd Ste 275, Peoria, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649694720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 49062 (Arizona) | Secondary |
| 207R00000X | Internal Medicine | 49062 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Arrowhead Hospital | Glendale, AZ | Hospital |
| Banner Boswell Medical Center | Sun city, AZ | Hospital |
| Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
| Banner Thunderbird Medical Center | Glendale, AZ | Hospital |
| Wickenburg Community Hospital | Wickenburg, AZ | Hospital |
| Entity Name | Dvma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194893800 PECOS PAC ID: 0941302053 Enrollment ID: O20070220000711 |
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Entity Name | Gobran Shahla Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881441681 PECOS PAC ID: 7214379197 Enrollment ID: O20240523000977 |
| Mailing Address | Practice Location Address |
|---|---|
| Gobran Shahla, 9139 W Thunderbird Rd Ste 275, Peoria, AZ 85381-4922 Ph: (623) 900-5181 | Gobran Shahla, 9139 W Thunderbird Rd Ste 275, Peoria, AZ 85381-4922 Ph: (623) 900-5181 |
Moustafa Banna, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Dr Ste J1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168 | |
Dr. Akshay Vijay Shah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave, Suite 122, Peoria, AZ 85381 Phone: 623-773-1161 Fax: 623-773-1181 | |
Brent Smoots, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15525 N 83rd Ave Ste 104, Peoria, AZ 85382 Phone: 877-809-5092 | |
Wilbur Knowlton Freeman Iii, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Drive Ste. J-1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168 | |
Gilbert Ortega, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13965 N 75th Ave, Peoria, AZ 85381 Phone: 602-734-0252 | |
Manoj Rawal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Drive, Ste J-1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168 | |
Dr. Robert R Orr, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9171 W Thunderbird Rd, Suite 101, Peoria, AZ 85381 Phone: 623-815-7800 Fax: 623-815-7900 |