Individual
DR. IMRAN R. KHAWAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9175
(214) 645-5777
(214) 645-6757
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9175
(214) 645-5777
(214) 645-6757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5663
SD
207R00000X
Internal Medicine Physician
Primary
N2146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005110
—
SD
Enumeration date
02/07/2006
Last updated
01/05/2012
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