Gold Canyon Internal Medicine, PLLC
NPI 1669348157ActiveOrganization· Internal Medicine· Mesa, AZ
Internal Medicine in Mesa, Arizona, registered in NPPES in October 2025, part of Gold Canyon Internal Medicine, PLLC. The authorized official on file is George K. Fahnbulleh, NA, Ceo.
Overview
| NPI | 1669348157 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Gold Canyon Internal Medicine, PLLC |
| NPI issued | Oct 13, 2025 |
| Last updated in NPPES | Oct 13, 2025 |
| Certified by provider | Oct 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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