Individual
DR. OSMAAN ABBAS KHAWAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 E 1ST ST, SUITE 105, DIXON, IL 61021-3166
(815) 285-5842
(815) 285-5845
Mailing address
215 E 1ST ST, SUITE 105, DIXON, IL 61021-3166
(815) 285-5842
(815) 285-5845
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
2086S0102X
Surgical Critical Care Physician
—
IL
2086S0127X
Trauma Surgery Physician
—
IL
Other
Enumeration date
05/10/2007
Last updated
08/07/2007
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