Organization
KHAWAJA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAZAH KHAWAJA MD (AUTHORIZED OFFICIAL)
(917) 214-1813
Entity
Organization
Contact information
Practice address
990 SONOMA AVE STE 18, SANTA ROSA, CA 95404-4813
(917) 214-1813
Mailing address
990 SONOMA AVE STE 18, SANTA ROSA, CA 95404-4813
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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