Individual
TAQUIUDDIN KHAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 S RIVERSHIRE DR STE 300, CONROE, TX 77304-3485
(936) 777-8830
(936) 777-8831
Mailing address
3901 RAINBOW BLVD, MAIL STOP 2027, KANSAS CITY, KS 66160-8500
(913) 588-6050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
94-08942
KS
207R00000X
Internal Medicine Physician
T0535
TX
207RN0300X
Nephrology Physician
Primary
T0535
TX
Other
Enumeration date
05/18/2016
Last updated
06/29/2022
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