Organization
ALI KHAWAJA MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI IMRAN KHAWAJA M.D. (PRESIDENT)
(301) 244-8661
Entity
Organization
Contact information
Practice address
3713 MACKALL ST, FREDERICK, MD 21704-7934
(301) 244-8661
(301) 618-0404
Mailing address
17 WESTERN MARYLAND PKWY, SUITE 100, HAGERSTOWN, MD 21740-5471
(301) 244-8661
(301) 618-0404
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0068680
MD
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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