| Gold Canyon Internal Medicine, Pllc | |
|
5440 E Southern Ave Ste 105 Mesa AZ 85206-2779 | |
| (480) 626-4999 | |
| (480) 303-4323 |
| Full Name | Gold Canyon Internal Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5440 E Southern Ave Ste 105, Mesa, Arizona |
| Authorized Official Name and Position | George K Fahnbulleh (CEO) |
| Authorized Official Contact | 6023007301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Canyon Internal Medicine, Pllc 5440 E Southern Ave Ste 10 Mesa AZ 85206-2779 Ph: (480) 626-4999 | Gold Canyon Internal Medicine, Pllc 5440 E Southern Ave Ste 105 Mesa AZ 85206-2779 Ph: (480) 626-4999 |
| NPI Number | 1669348157 |
|---|---|
| Provider Enumeration Date | 10/13/2025 |
| Last Update Date | 10/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669348157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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