Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Komola Azimova Shaban, MD

Individual provider Adult Medicine Physician · NPI 1326495235

Dr. Komola Azimova Shaban, MD is a Family Practice in Clovis, California. Graduated from Paul L Foster School of Medicine, Texas Tech Univ in 2016, 10 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
10
Trained at
Paul L Foster School of Medicine, Texas Tech Univ
Licensed in
CA
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2071 Herndon Ave
Clovis, CA 93611-6101
Phone: (512) 650-6550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5319 Dupuy Cir, Temple City, CA 91780-3165 — (512) 650-6550

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence A174548 (CA)

Record details

NPI number1326495235
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2016
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolPAUL L FOSTER SCHOOL OF MEDICINE, TEXAS TECH UNIV
Graduated 2016 (10 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services