Individual
DR. IMRAN SHUJA KHAWAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
823 IRA E WOODS AVE STE 200, GRAPEVINE, TX 76051
(817) 722-6078
(817) 722-6077
Mailing address
PO BOX 93685, SOUTHLAKE, TX 76092-0116
(817) 722-6078
(817) 722-6077
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
P6847
TX
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
P6847
TX
Other
Enumeration date
09/23/2005
Last updated
03/12/2019
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