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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417901604 | NPPES |
| Alabama | MEDICAID | 009949425 | |
| Alabama | MEDICAID | 08537330 | |
| Alabama | Other | 51521327 | |
| Alabama | MEDICAID | 269454900 | |
| Alabama | Other | 2510927 |
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