Individual
DR. SHAMSUDDIN KHWAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2105 S CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 554-3377
(254) 554-3389
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4099
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
L9285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8S3510
BCBS
TX
01
—
P00176154
MEDICARE RAILROAD
TX
Enumeration date
04/18/2006
Last updated
03/11/2008
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