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Organization
ENLIGHTENMED
Active
Organization
ENLIGHTENMED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAH KHAN MD (OWNER)
(210) 551-7052
Entity
Organization
Contact information
Practice address
2100 WEBSTER ST STE 404, SAN FRANCISCO, CA 94115-2379
(210) 551-7052
Mailing address
2100 WEBSTER ST STE 404, SAN FRANCISCO, CA 94115-2379
(210) 551-7052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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