Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gold Canyon Internal Medicine

Organization Internal Medicine Physician · NPI 1417112541

Gold Canyon Internal Medicine is an Internal Medicine Physician in Gold Canyon, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008

Practice location Address checks out

6724 S Kings Ranch Rd Ste 102
Gold Canyon, AZ 85118-2963
Phone: (480) 626-4999
Fax: (480) 304-3239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25933 (AZ)

Record details

NPI number1417112541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Fahnbulleh — Ceo · (480) 525-6161
NPI enumeratedJuly 29, 2008
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address6724 S Kings Ranch Rd Ste 102, Gold Canyon, AZ 85118-2963

Other providers in Gold Canyon