Healthcare Provider Details

I. General information

NPI: 1861879140
Provider Name (Legal Business Name): GOOD HEALTH MEDICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2015
Last Update Date: 11/30/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1982 W MAIN ST STE 101
MESA AZ
85201-6916
US

IV. Provider business mailing address

261 N ROOSEVELT AVE
CHANDLER AZ
85226-2616
US

V. Phone/Fax

Practice location:
  • Phone: 480-305-2888
  • Fax: 480-535-0962
Mailing address:
  • Phone: 480-305-2888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateAZ

VIII. Authorized Official

Name: DR. PAYAM ZAMANI
Title or Position: FOUNDER AND CEO
Credential: M D
Phone: 480-305-2888