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

Gold Canyon Internal Medicine, PLLC

Organization Internal Medicine Physician · NPI 1669348157

Gold Canyon Internal Medicine, PLLC is an Internal Medicine Physician in Mesa, Arizona. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5440 E Southern Ave Ste 105
Mesa, AZ 85206-2779
Phone: (480) 626-4999
Fax: (480) 303-4323
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1669348157
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGold Canyon Internal Medicine, PLLC
Authorized official George Fahnbulleh — Ceo · (602) 300-7301
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address5440 E Southern Ave Ste 10, Mesa, AZ 85206-2779

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