Individual
DR. AZAMUDDIN KHAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1151 HAZEL LN, FARMINGTON, MO 63640-1920
(573) 705-7870
Mailing address
1151 HAZEL LN, FARMINGTON, MO 63640-1920
(573) 705-7870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005024106
MO
207RC0000X
Cardiovascular Disease Physician
2005024106
MO
207RC0000X
Cardiovascular Disease Physician
35-095412
OH
207RI0011X
Interventional Cardiology Physician
Primary
2005024106
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024106
MEDICAL LICENSE
MO
Enumeration date
05/04/2006
Last updated
12/03/2025
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