Gobran Shahla, | |
9139 W Thunderbird Rd Ste 275, Peoria, AZ 85381-4922 | |
(623) 900-5181 | |
(623) 900-5290 |
Full Name | Gobran Shahla |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 19 Years |
Location | 9139 W Thunderbird Rd Ste 275, Peoria, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649694720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 49062 (Arizona) | Secondary |
207R00000X | Internal Medicine | 49062 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Arrowhead Hospital | Glendale, AZ | Hospital |
Banner Boswell Medical Center | Sun city, AZ | Hospital |
Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
Banner Thunderbird Medical Center | Glendale, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dvma Llc | 0941302053 | 51 |
Banner Hospital Based Physicians Arizona Llc | 3274782487 | 405 |
Entity Name | Dvma Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194893800 PECOS PAC ID: 0941302053 Enrollment ID: O20070220000711 |
Entity Name | Banner Hospital Based Physicians Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
Entity Name | Gobran Shahla Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881441681 PECOS PAC ID: 7214379197 Enrollment ID: O20240523000977 |
Mailing Address | Practice Location Address |
---|---|
Gobran Shahla, 9139 W Thunderbird Rd Ste 275, Peoria, AZ 85381-4922 Ph: (623) 900-5181 | Gobran Shahla, 9139 W Thunderbird Rd Ste 275, Peoria, AZ 85381-4922 Ph: (623) 900-5181 |
Moustafa Banna, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Dr Ste J1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168 | |
Dr. Akshay Vijay Shah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave, Suite 122, Peoria, AZ 85381 Phone: 623-773-1161 Fax: 623-773-1181 | |
Brent Smoots, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15525 N 83rd Ave Ste 104, Peoria, AZ 85382 Phone: 877-809-5092 | |
Wilbur Knowlton Freeman Iii, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 13460 N 94th Drive Ste. J-1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168 | |
Gilbert Ortega, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 13965 N 75th Ave, Peoria, AZ 85381 Phone: 602-734-0252 | |
Manoj Rawal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Drive, Ste J-1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168 | |
Dr. Robert R Orr, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9171 W Thunderbird Rd, Suite 101, Peoria, AZ 85381 Phone: 623-815-7800 Fax: 623-815-7900 |