Individual
HUSSAIN A KHAWAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
258 HOOSICK ST STE 107, TRI-CITY CARDIOLOGY CARE, PLLC, TROY, NY 12180-2471
(518) 326-8183
(518) 326-8185
Mailing address
258 HOOSICK ST STE 107, TRI-CITY CARDIOLOGY CARE, PLLC, TROY, NY 12180-2471
(518) 326-8183
(518) 326-8185
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
233540
NY
207RC0000X
Cardiovascular Disease Physician
A75391
CA
207RI0011X
Interventional Cardiology Physician
233540
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03241632
—
NY
05
—
1018300
—
VT
05
—
110087294A
—
MA
Enumeration date
09/25/2006
Last updated
06/17/2014
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