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Dr. Shiva Khalili, MD
Student in an Organized Health Care Education/Training Program in Lubbock, Texas
NPI 1619497005

Shiva Khalili is a Student in an Organized Health Care Education/Training Program based in Lubbock, TX. Shiva Khalili practices in Lubbock, TX and has the professional credentials of MD. The NPI Number for Shiva Khalili is 1619497005 and holds a License No. BP10059614 (Texas).

The current practice location address for Shiva Khalili is 3601 4Th St. Ms 6211, Lubbock, TX and can be reached out via phone at 806-743-3039 and via fax at 806-743-2174.

Location: 3601 4Th St. Ms 6211, Lubbock, TX, 79414-6006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619497005
Provider Name
Shiva Khalili
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3601 4Th St. Ms 6211, Lubbock, TX, 79414-6006
Phone Number
806-743-3039
Fax Number
806-743-2174
Provider Enumeration Date
06/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3601 4Th St. Ms 6211
City
Lubbock
State
Texas
Zip
79414-7941
Phone Number
806-743-3039
Fax Number
806-743-2174
person
Provider Business Mailing Address Details
Address
3601 4Th St. Ms 6211
City
Lubbock
State
Texas
Zip
79414-7941
Phone Number
806-743-3039
Fax Number
806-743-2174
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10059614 (Texas)
Definition
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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