Basic Information
Provider Information
NPI: 1871724153
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KHAWAJA
FirstName: MUHAMMAD
MiddleName: RIZWAN-UL-HAQ
NamePrefix: DR.
NameSuffix:  
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 500 UPPER CHESAPEAKE DR
Address2:  
City: BEL AIR
State: MD
PostalCode: 210144324
CountryCode: US
TelephoneNumber: 4436433010
FaxNumber: 4436433011
Practice Location
Address1: 500 UPPER CHESAPEAKE DR
Address2:  
City: BEL AIR
State: MD
PostalCode: 210144324
CountryCode: US
TelephoneNumber: 4436433010
FaxNumber: 4436433011
Other Information
ProviderEnumerationDate: 08/04/2009
LastUpdateDate: 11/30/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003XD0086030MDY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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