Individual
DR. ALI IMRAN KHAWAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 WESTERN MARYLAND PKWY, SUITE 100, HAGERSTOWN, MD 21740-5471
(301) 797-6389
(301) 797-4119
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
D0068680
MD
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD431486
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
D0068680
MD
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD431486
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1974224
HIGHMARK BLUE SHIELD PA LOCATION
PA
01
—
2092614
HIGHMARK BLUE SHIELD MD LOCATION
PA
05
—
417103900
—
MD
01
—
6838916
AETNA-MD HMO
MD
01
—
6913012
AETNA PA HMO
PA
01
—
9396180
AETNA-MD NONHMO
MD
01
—
9396180
AETNA-PA NONHMO
PA
01
—
94954101
BLUE SHIELD PPN
MD
01
—
W2660021
BLUE SHIELD REGIONAL
MD
Enumeration date
04/16/2007
Last updated
04/29/2026
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