Individual
NIDA KHAWAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4505
(601) 815-5025
(601) 984-5885
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216-4505
(601) 815-5025
(601) 984-5885
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
T-3143
MS
Other
Enumeration date
04/27/2016
Last updated
07/13/2017
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