Individual
SARA KHWAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ADDRESS: 6580 72ND AVE N STE A, PINELLAS PARK, FL 33781-0000
(727) 271-1611
Mailing address
2080 SIMEON DR, PALM HARBOR, FL 34683-6254
(727) 401-4030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
HSE38987
FL
2083P0901X
Public Health & General Preventive Medicine Physician
HSE38987
FL
2084P0800X
Psychiatry Physician
Primary
HSE38987
FL
Other
Enumeration date
02/20/2024
Last updated
11/08/2024
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