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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHADI KHALIL, MD, PHD

Active

DR. SHADI KHALIL, MD, PHD is a Dermatology healthcare provider located in SAN DIEGO, California. NPI 1366901688 is currently active in the NPPES registry. Verify at CMS.

Dermatology · SAN DIEGO, CA

Registration Details

NPI Number
1366901688
Provider Type
Individual
Gender
Male
NPI Issued
Mar 16, 2019 (7.4524635536658 yrs)
Last Updated
Aug 14, 2025
Licenses
330949 (NY)
A178244 (CA)

Practice Information

Address
15004 INNOVATION DR
SAN DIEGO, CA, 921283491
Browse CA providers · Browse ZIP 92128
Phone
8586057808
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology

Other Dermatology Providers in SAN DIEGO, CA

Name Credential NPI
DR. SANDRA KRAUS ADSIT MD 1457350217
DR. WALTER K NAHM M.D., PHD. 1467447284
DR. JOHN F SHEGA M.D. 1366432312
DR. MONA ZOHDI MOFID M.D. 1730167677
DR. ELIZABETH KLINE SATTER MD, MPH, MSC 1164493151
DR. CAMILLE ANN HENNINGER M.D. 1447221304
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.