Individual
FAWAD NAEEM KHAWAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3627 UNIVERSITY BLVD S STE 135, JACKSONVILLE, FL 32216-4231
(904) 398-8147
(904) 400-6674
Mailing address
1824 KING ST, STE 200, JACKSONVILLE, FL 32204-4735
(904) 384-3343
(904) 400-6671
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2025011383
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME95326
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002669600
—
FL
Enumeration date
02/26/2007
Last updated
08/01/2025
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