Shahab Khademi
Medical Specialty
Professional ID
- NPI: 1710243001
- PECOS ID: 4688948359
- Enrollment ID: I20170919001422
- Credential(MD, DO, DPM):
- Medical School: West Virginia School Of Osteopathic Medicine
- Medical School Graduation Year: 2012
Hospital Service
- Hospital CCN1: 050084
- Business Name (LBN)1: St Josephs Medical Center Of Stockton
Medical Practices
- Organization Name: Dhp Anesthesia Medical Group Inc
- Group Practice ID assigned by PECOS: 7113176421
- Number of Group Practice member: 54
Location
- Address1: 1800 N California St
- Address2:
- City: Stockton
- State: California
- Zip Code: 95204
- Phone Number: (209)943-2000
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):