Khaliq A. Shah, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G81463 Issued in CA

Practice address

1825 Civic Center Dr
Suite 13
Santa Clara, CA 95050-7301

Phone

(408) 236-3540

Fax

(408) 236-3545

NPI assigned

Aug 2, 2006

Last updated

Jun 27, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1568479327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 CIVIC CENTER DR",
            "address_2": "SUITE 13",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950507301",
            "telephone_number": "408-236-3540",
            "fax_number": "408-236-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 CIVIC CENTER DR",
            "address_2": "SUITE 13",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950507301",
            "telephone_number": "408-236-3540",
            "fax_number": "408-236-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KHALIQ",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G81463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sfo Medical Supplies Inc
• Yelena Shaanova, MD
• Natalile Shadan
• Dharti R Shah, M.D.
• Kalyani Kalpen Shah, LCSW
• Krisha Sameer Shah, DMD
• Mona Rutesh Shah, MS, RD, CNSD
• Nilofar Shah, PHARM. D.
• Pooja V Shah
• Shailan B. Shah, MD

• Internal Medicine Physician in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.