Individual
MAHA AL-KHAWAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.B.B.S., MD
Contact information
Practice address
3495 HACKS CROSS RD, MEMPHIS, TN 38125-8803
(901) 526-7444
Mailing address
3495 HACKS CROSS RD, MEMPHIS, TN 38125-8803
(901) 526-7444
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD45807
TN
390200000X
Student in an Organized Health Care Education/Training Program
11013316A
IN
Other
Enumeration date
06/12/2008
Last updated
06/02/2020
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