Individual
SIDRAH KHAWAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R-PAC
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-3679
(816) 932-9089
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 932-3679
(816) 932-9089
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
012059-1
NY
363A00000X
Physician Assistant
Primary
2019033838
MO
363A00000X
Physician Assistant
C04020
MD
Other
Enumeration date
11/23/2007
Last updated
05/18/2020
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