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

Dr. Maryam Khalil

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265011340

Dr. Maryam Khalil is a General Surgery in LA Jolla, California. Graduated from Wake Forest University School of Medicine in 2025, 1 year ago. Licensed in California and Oklahoma.

Years since qualifying
1
Trained at
Wake Forest University School of Medicine
Licensed in
CA, OK
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

10710 N Torrey Pines Rd
LA Jolla, CA 92037-1035
Phone: (858) 842-8093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A207092 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 38175 (OK)

Record details

NPI number1265011340
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2021
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address10790 Rancho Bernardo Rd, San Diego, CA 92127-5705

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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