Individual
DR. SHAMSUDDIN KHWAJA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 E HERNDON AVE, VALLEY CARDIAC SURGERY, SUITE 107, FRESNO, CA 93720-3238
(559) 435-3740
(559) 261-9073
Mailing address
1400 AMBASSADOR ST, APT. 111, LOS ANGELES, CA 90035-2858
(310) 551-2772
(310) 551-2891
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A85907
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
L3718
TX
Other
Enumeration date
07/07/2005
Last updated
07/08/2007
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