Individual
DR. SHUMAILA NOORUDDIN KHAWJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4310 JAMES CASEY ST STE 3C, AUSTIN, TX 78745-1120
(512) 244-0766
(512) 244-1013
Mailing address
4310 JAMES CASEY ST STE 3C, AUSTIN, TX 78745-1120
(512) 244-0766
(512) 244-1013
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2019034145
MO
208600000X
Surgery Physician
Primary
T2903
TX
2086S0102X
Surgical Critical Care Physician
2019034145
MO
2086S0102X
Surgical Critical Care Physician
T2903
TX
Other
Enumeration date
04/06/2014
Last updated
08/12/2021
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