Khalil A Soomro, MD
Internal Medicine in La Mesa, CA. Individual provider (NPI-1).
NPI number1265409296
StatusActive
Last updated in NPPESJan 15, 2013
Details
- NPI
- 1265409296
- Entity type
- Individual (NPI-1)
- Name
- Khalil A Soomro
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2006
- Last updated
- Jan 15, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A50333 | CA | Yes |
Practice location
5111 Garfield StSte B
La Mesa, CA 91941
Phone 619-698-9375
Mailing address
5111 Garfield StSte B
La Mesa, CA 91941
Phone 619-698-9375
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