Individual provider · Type 1 NPI

Shadi Khalil, MD, PhD

Dermatology Physician · San Diego, CA

NPI number 1366901688 Active

Practice location

15004 Innovation Dr
San Diego, CA 92128-3491

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705

Specialties and licenses

TaxonomyCodeLicense
Dermatopathology Physician 207ND0900X330949 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dermatology Physician Primary 207N00000XA178244 (CA)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1366901688

Shadi Khalil, MD, PhD's National Provider Identifier is 1366901688, issued on Mar 16, 2019. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in San Diego, CA. The record was last updated on Aug 14, 2025.