Provider Demographics
NPI:1013394386
Name:GOOD HEALTH MEDICAL, PLLC
Entity Type:Organization
Organization Name:GOOD HEALTH MEDICAL, PLLC
Other - Org Name:MY DR NOW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PAYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:480-305-2888
Mailing Address - Street 1:261 N ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-2616
Mailing Address - Country:US
Mailing Address - Phone:480-305-2888
Mailing Address - Fax:
Practice Address - Street 1:5045 W BASELINE RD
Practice Address - Street 2:STE 110
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-7392
Practice Address - Country:US
Practice Address - Phone:480-305-2888
Practice Address - Fax:480-535-0962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X
AZ261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ367745Medicaid