MEDICARE: DR. RUBINA KHILNANI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	A89693	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0-572-412-5	OTHER	CA	ECFMG
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750381638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUBINA KHILNANI MD

Provider Business Mailing Address
First Line	:	1 BAYWOOD AVE
Second Line	:	SUITE 9
City	:	SAN MATEO
State	:	CA
Zip	:	94402-1523
Country	:	US
Telephone Number	:	650-477-8112
Fax Number	:	650-401-8200

Provider Business Practice Location Address
First Line	:	1 BAYWOOD AVE
Second Line	:	SUITE 9
City	:	SAN MATEO
State	:	CA
Zip	:	94402-1523
Country	:	US
Telephone Number	:	650-477-8112
Fax Number	:	650-401-8200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	03/07/2023

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