# JOHN KHADE, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275125049
- **Authorized official:** JOHN KHADE (CEO)
- **Authorized official phone:** (510) 865-6000

## Contact information

- **Practice address:** 1406 PARK ST STE 400, ALAMEDA, CA 94501-4559
- **Practice address phone:** (510) 865-6000
- **Mailing address:** 1803 MORELAND DR, ALAMEDA, CA 94501-1643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2021
- **Last updated:** 04/16/2021