MEDICARE: GOOD HEALTH MEDICAL, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1699544098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD HEALTH MEDICAL, PLLC

Provider Business Mailing Address
First Line	:	261 N ROOSEVELT AVE
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85226-2617
Country	:	US
Telephone Number	:	480-677-8282
Fax Number	:

Provider Business Practice Location Address
First Line	:	10410 N 35TH AVE STE 112-114
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-1303
Country	:	US
Telephone Number	:	480-677-8282
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	PAYAM ZAMANI
Credential	:
Telephone Number	:	480-305-2888

Provider Enumeration Date	:	12/27/2023
Last Update Date	:	12/27/2023

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Directions to “GOOD HEALTH MEDICAL, PLLC ” Practice Location

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