KHALIQ A. SHAH (NPI# 1568479327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568479327 |
| Entity Type | Individual |
| Full Name | KHALIQ A. SHAH |
| Credential | M.D. |
| Practice Address |
1825 Civic Center Dr Suite 13 Santa Clara CA 95050-7301 |
| Practice Telephone | 4082363540 |
| Practice Fax Number | 4082363545 |
| Mailing Telephone | 4082363540 |
| Mailing Fax Number | 4082363545 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2008-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G81463 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1825 CIVIC CENTER DR SUITE 13 |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95050-7301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457324931 | Donna Nissley Nchekwube | General Practice | 1825 Civic Center Dr, 17, Santa Clara, CA 95050-7301 | 2006-02-07 |
| 1851574289 | Jan Kenneth Klofter | Physical Therapist | 1825 Civic Center Dr, Santa Clara, CA 95050-7301 | 2007-12-07 |
| 1447430954 | William H Trolan Md Inc. | Clinic/Center | 1825 Civic Center Dr, Suite # 7, Santa Clara, CA 95050-7301 | 2007-11-13 |
| 1194917369 | E and D Nchekwube, Md, Inc | General Practice | 1825 Civic Center Dr, #17, Santa Clara, CA 95050-7302 | 2007-08-13 |
| 1083750764 | Ptr Sports, A Medical Corporation | Family Medicine | 1825 Civic Center Dr, Suite 25, Santa Clara, CA 95050-7301 | 2007-01-29 |
| 1801900220 | Jeffrey G Blue | Family Medicine | 1825 Civic Center Dr, Suite 25, Santa Clara, CA 95050-7301 | 2006-08-19 |
| 1306819826 | Emeka J Nchekwube | Neurological Surgery | 1825 Civic Center Dr, 17, Santa Clara, CA 95050-7301 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446115 | Amanda Tatiana Perez | Behavior Technician | 126. Main St, Santa Clara, CA 95050 | 2020-01-15 |
| 1942854013 | Beatrice M Roque | Behavior Technician | 1171 Homestead Rd Ste.250, Santa Clara, CA 95050 | 2019-07-27 |
| 1619433836 | Angelica Chavez | Behavioral Analyst | 1171 Homested Rd Ste 250, San Jose, CA 95050 | 2019-02-12 |
| 1578047551 | Tran and Nguyen Dental Corporation | Dentist | 1171 Homestead Rd Suite #214, Santa Clara, CA 95050 | 2018-09-17 |
| 1467938431 | Yvette Garcia | Behavioral Analyst | 1171 Homestead Ave #250, Santa Clara, CA 95050 | 2018-07-12 |
| 1174016117 | Kahrizak Foundation Inc. | Assisted Living Facility | 1818 Scott Blvd, Santa Clara, CA 95050 | 2018-06-13 |
| 1194217620 | Diana Urias | Behavioral Analyst | 1151 Homestead Rd Ste 250, Santa Clara, CA 95050 | 2018-05-31 |
| 1801321583 | Alexandra Araujo | Behavior Technician | 962 Reeve St, Santa Clara, CA 95050 | 2017-05-01 |
| 1366830127 | Christina Altemueller | Marriage & Family Therapist | 2797 Park Avenue, Suite 200, Santa Clara, CA 95050 | 2015-01-02 |
| 1922411503 | Olivia Brown Krakower | Speech-Language Pathologist | 1880 Pruneridge Avenue, Santa Clara, CA 95050 | 2014-06-11 |
| Find all providers in zip 95050 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366853103 | Momina Waqar | Internal Medicine | 710 Lawrence Expy Dept 360, Santa Clara, CA 95051-5173 | 2014-05-14 |
| 1811278682 | Mariya Pelvitski | Internal Medicine | 710 Lawrence Expy Dept 498, Santa Clara, CA 95051-5173 | 2011-09-07 |
| 1568789048 | Richard Anthony Lau | Internal Medicine | 710 Lawrence Expy Dept 140, Santa Clara, CA 95051 | 2010-04-23 |
| 1356581748 | Kavitha Kambham | Internal Medicine | 2233 Lenox Pl, Santa Clara, CA 95054-1385 | 2009-02-25 |
| 1134374275 | Peter K Lee | Internal Medicine | 710 Lawrence Expy Dept 384, Santa Clara, CA 95051-5173 | 2008-11-17 |
| 1003070012 | Uma Devi Kantamuneni | Internal Medicine | 3655 Pruneridge Ave Apt 224, Santa Clara, CA 95051-5948 | 2008-07-18 |
| 1497928360 | Central Medical Center Inc | Internal Medicine | 2344 El Camino Real Ste 105, Santa Clara, CA 95050-4072 | 2008-04-10 |
| 1255525366 | Elisabeth Anna Calvelli | Internal Medicine | 710 Lawrence Expy Dept 260, Kaiser Permanente, Santa Clara, CA 95051-5173 | 2007-08-31 |
| 1700935632 | Ana Milena Ojeda Brittain | Internal Medicine | 700 Lawrence Expressway, Suite P 3502 Hospital Medicine, Santa Clara, CA 95051 | 2007-01-09 |
| 1881762847 | De H Tran | Internal Medicine | 2518 Mission College Blvd, Santa Clara, CA 95054-1239 | 2006-11-30 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95050 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.