Healthcare Provider Details

I. General information

NPI: 1801470778
Provider Name (Legal Business Name): NAVEERA KHAN MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2021
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR
STANFORD CA
94305-2200
US

IV. Provider business mailing address

300 PASTEUR DR # L134
PALO ALTO CA
94305-2200
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-3653
  • Fax: 650-498-9876
Mailing address:
  • Phone: 650-723-3653
  • Fax: 650-498-9876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD228002
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: