Khalili, Sophia
Khalili, Sophia is an individual health care provider with primary practice located at 39000 Bob Hope Dr , Rancho Mirage CA 92270-3221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Khalili, Sophia can be contacted via phone (760) 837-8905.Contact Information
Primary practice address
39000 Bob Hope Dr
Rancho Mirage CA 92270-3221
Phone: (760) 837-8905
Fax: (760) 837-8956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601003957 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA22183 | California |
Profile Details
| NPI number | 1518949759 |
|---|---|
| LBN Legal business name | Khalili, Sophia |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Mar 30th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518949759 | NPPES |
| Michigan | Other | 160C97618 | BCBSM |
| Michigan | Other | 1104840529 | BCBSM |
| Michigan | MEDICAID | 1518949759 | BCBSM |
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