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

Gobran Shahla

Individual provider Internal Medicine Physician · NPI 1649694720

Gobran Shahla is an Internal Medicine in Peoria, Arizona. Qualified in 2005, 21 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
21
Licensed in
AZ
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

9197 W Thunderbird Rd Ste 101
Peoria, AZ 85381-0001
Phone: (623) 900-5181
Fax: (623) 900-5290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 — (623) 832-4000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 49062 (AZ)
Hospitalist Physician Taxonomy 208M00000X · Licence 49062 (AZ)

Record details

NPI number1649694720
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 10, 2014
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address9197 W Thunderbird Rd Ste 101, Peoria, AZ 85381-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Peoria