Khawaja, Laura

Khawaja, Laura is an individual health care provider with primary practice located at 9776 Bonita Beach Rd Se Ste 201A , Bonita Springs FL 34135-4775. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Khawaja, Laura can be contacted via phone (239) 947-3092.

Contact Information

Primary practice address
9776 Bonita Beach Rd Se Ste 201A Bonita Springs FL 34135-4775
Phone: (239) 947-3092
Fax: (239) 947-5298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9109324 Florida

Profile Details

NPI number 1821455262
LBN Legal business name Khawaja, Laura
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2016
Last updated Mar 26th, 2024 - about 9 months 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 1821455262 NPPES
Florida Other O9D5B BCBS
Florida MEDICAID 104522800 BCBS

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