# DR. MOHAMMAD KHALIL KANJWAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174715916
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 35090272 | OH | — |
| 207RC0000X | Cardiovascular Disease Physician | MT183557 | PA | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 4301093482 | MI | Yes |

## Other

- **Enumeration date:** 08/15/2007
- **Last updated:** 12/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 35090272 | LICENSE | OH |
| 01 | — | MT183557 | PA MEDICAL BOARD | PA |