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

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

Practice location Address checks out

9197 W Thunderbird Rd Ste 101
Peoria, AZ 85381-0001
Phone: (623) 900-5181
Fax: (623) 900-5290
Show map & directions

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

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