Individual
DR. TAHIR NISAR KHWAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1460 LIVINGSTON AVE, NORTH BRUNSWICK, NJ 08902-1873
(917) 287-8207
Mailing address
10506 SANCREST RD, RICHMOND, VA 23238-4131
(917) 287-8207
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD60654147
WA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101246531
VA
2084P0804X
Child & Adolescent Psychiatry Physician
S3691
TX
Other
Enumeration date
05/23/2007
Last updated
06/10/2020
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