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

Mario Khalil

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609403682

Mario Khalil is an Anesthesiology in Stanford, California. Graduated from Wake Forest University School of Medicine in 2020, 6 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment.

Years since qualifying
6
Trained at
Wake Forest University School of Medicine
In the registry since
2020
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Practice location Address checks out

300 Pasteur Dr Lane 154
Stanford, CA 94305-2200
Phone: (650) 723-6661
Fax: (650) 498-6205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1609403682
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESDecember 30, 2024
Certification dateMarch 26, 2020

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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