MEDICARE: MR. OMAIR KHWAJA YOUSUF M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0001X	Clinical Cardiac Electrophysiology Physician	2016013255	MO
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	0101272743	VA
3	207RC0000X	Cardiovascular Disease Physician	2016013255	MO
4	207RC0000X	Cardiovascular Disease Physician	04-38842	KS

General Provider Information

NPI Number	:	1104083260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. OMAIR KHWAJA YOUSUF M.D.

Provider Business Mailing Address
First Line	:	3601 EISENHOWER AVE STE 220
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-6457
Country	:	US
Telephone Number	:	703-558-6941
Fax Number	:

Provider Business Practice Location Address
First Line	:	1851 N GEORGE MASON DR STE 3C
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22207-1953
Country	:	US
Telephone Number	:	703-717-7780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2008
Last Update Date	:	08/13/2025

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