Provider Demographics
NPI:1750381638
Name:KHILNANI, RUBINA (MD)
Entity type:Individual
Prefix:DR
First Name:RUBINA
Middle Name:
Last Name:KHILNANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BAYWOOD AVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-1523
Mailing Address - Country:US
Mailing Address - Phone:650-477-8112
Mailing Address - Fax:650-401-8200
Practice Address - Street 1:1 BAYWOOD AVE
Practice Address - Street 2:SUITE 9
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-1523
Practice Address - Country:US
Practice Address - Phone:650-477-8112
Practice Address - Fax:650-401-8200
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89693207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0-572-412-5OtherECFMG
CAGR0081080Medicaid
CAGR0081080Medicaid
I25489Medicare UPIN