Organization
TRI-CITY CARDIOLOGY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUSSAIN KHAWAJAH MD (OWNER)
(518) 322-5295
Entity
Organization
Contact information
Practice address
258 HOOSICK ST, SUITE 107, TROY, NY 12180-2444
(518) 322-5295
Mailing address
258 HOOSICK ST, SUITE 107, TROY, NY 12180-2444
(518) 322-5295
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
07/30/2013
Last updated
08/06/2013
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