Individual provider · Type 1 NPI
Shiva Khalili, MD
Student in an Organized Health Care Education/Training Program · Lubbock, TX
Practice location
3601 4th St. Ms 6211
Lubbock, TX 79414-7941
Fax (806) 743-2174
Mailing address
5301 Chicago Ave Apt 3302
Lubbock, TX 79414-6006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | BP10059614 (TX) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1619497005
Shiva Khalili, MD's National Provider Identifier is 1619497005, issued on Jun 27, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lubbock, TX. The record was last updated on Jun 27, 2017.