DR. JASSER KHAIRALLAH DO NPI 1396249561

NPI Information

NPI: 1396249561
Provider Name: DR. JASSER KHAIRALLAH, DO
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
401 QUARRY RD
PALO ALTO, CA
ZIP 94304
Phone: (650) 736-1743
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DR. Jasser Khairallah, DO is an addiction medicine family medicine in Palo Alto, CA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Jasser Khairallah, DO NPI is 1396249561. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

401 QUARRY RD
PALO ALTO, CA
ZIP 94304-419
Phone: (650) 736-1743

The NPI 1396249561 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2018 and was last updated on 4/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		125.072640	ILLINOIS	No
2	207QA0401X	Family Medicine	Addiction Medicine	036.153612	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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