Khawaja, Shazib N.

Khawaja, Shazib N. is an individual health care provider with primary practice located at 705 Dixie St Suite 401, Carrollton GA 30117-3818. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Khawaja, Shazib N. can be contacted via phone (770) 836-9326.

Contact Information

Primary practice address
705 Dixie St Suite 401 Carrollton GA 30117-3818
Phone: (770) 836-9326
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 058888 Georgia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 058888 Georgia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25860 Alabama

Profile Details

NPI number 1417901604
LBN Legal business name Khawaja, Shazib N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Aug 4th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417901604 NPPES
Alabama MEDICAID 009949425
Alabama MEDICAID 08537330
Alabama Other 51521327
Alabama MEDICAID 269454900
Alabama Other 2510927

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