Healthcare Provider Details

I. General information

NPI: 1134364250
Provider Name (Legal Business Name): ZAHIDA KHAN MASKATIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ZAHIDA AZIZ KHAN M.D.

II. Dates (important events)

Enumeration Date: 12/03/2008
Last Update Date: 10/04/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S SAN MATEO DR STE 311
SAN MATEO CA
94401
US

IV. Provider business mailing address

1039 WHITCOMB CT
MILPITAS CA
95035-7840
US

V. Phone/Fax

Practice location:
  • Phone: 650-376-0853
  • Fax:
Mailing address:
  • Phone: 614-226-5860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberBP20030561
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License NumberA143036
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: