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Organization
ANSAB KHWAJA MD PC
Active
Organization
ANSAB KHWAJA MD PC
Active
Other names
Ansab Khwaja MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA L ROBERTS (PRACTICE ADMINISTRATOR)
(503) 659-1715
Entity
Organization
Contact information
Practice address
6542 SE LAKE RD STE 201, MILWAUKIE, OR 97222-2245
(503) 659-1769
(503) 496-4525
Mailing address
6542 SE LAKE RD STE 201, MILWAUKIE, OR 97222-2245
(503) 659-1769
(503) 496-4525
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500836886
—
OR
Enumeration date
08/10/2023
Last updated
05/19/2025
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