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Individual

SHAFI M. KHALID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15725 POMERADO RD, SUITE 105, POWAY, CA 92064-2068
(858) 485-7246
(858) 485-8676
Mailing address
15725 POMERADO RD, SUITE 105, POWAY, CA 92064-2068
(858) 485-7246
(858) 485-8676

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
C51093
CA
2084N0400X
Neurology Physician
C51093
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
C51093
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037623805
TX
05
037623806
TX
01
144299100
FIRSTCARE COMMERCIAL
TX
05
144299101
TX
05
1740228469
CA
05
1750343760
CA
05
200060420A
OK
01
202000179
PRESBYTERIAN COMMERCIAL
NM
05
202000179
NM
01
450686CG62103
SECTION 1011
TX
05
49371312
NM
01
87927Z
HMO BLUE
TX
01
8M0237
BC/BS
TX
01
J0105431
DPS
TX
Enumeration date
04/05/2006
Last updated
01/22/2024
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