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GOLD CANYON INTERNAL MEDICINE, PLLC
NPI 1669348157
Internal Medicine in Mesa, AZ

Active since October 13, 2025
5440 E SOUTHERN AVE STE 105, MESA, AZ 85206(480) 626-4999(480) 303-4323 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gold Canyon Internal Medicine, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLD CANYON INTERNAL MEDICINE, PLLC (NPI 1669348157) is a healthcare organization registered as an internal medicine in Mesa, Arizona and active in the NPI registry since October 2025. The organization lists George K Fahnbulleh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669348157
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGOLD CANYON INTERNAL MEDICINE, PLLC
Location Address5440 E SOUTHERN AVE STE 105Mesa, AZ 85206-2779
Mailing Address5440 E Southern Ave Ste 10Mesa, AZ 85206-2779 · (480) 626-4999 · Fax (480) 306-3239
Phone(480) 626-4999
Fax(480) 303-4323
Organization SubpartYes
Authorized OfficialGeorge K FahnbullehCeo · (602) 300-7301
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1669348157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5440 E SOUTHERN AVE STE 105, Mesa, AZ 85206
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gold Canyon Internal Medicine, PLLC's NPI number?

The NPI number for Gold Canyon Internal Medicine, PLLC is 1669348157. It was assigned to this organization in the NPPES registry on October 13, 2025.

Where is Gold Canyon Internal Medicine, PLLC located?

Gold Canyon Internal Medicine, PLLC is located at 5440 E Southern Ave Ste 105, Mesa, AZ 85206. The listed phone number is (480) 626-4999.

What is Gold Canyon Internal Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Gold Canyon Internal Medicine, PLLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.