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NPI Code Detail

MEDICARE: MUNAZZAH KHAWAJA MD

MEDICARE:   MUNAZZAH  KHAWAJA  MD
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
12084F0202XForensic Psychiatry Physician054763GA
22084P0800XPsychiatry Physician20529AL

General Provider Information

NPI Number : 1508809369
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUNAZZAH KHAWAJA MD
Provider Business Mailing Address
First Line : 7125 UNIVERSITY CT
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-8016
Country : US
Telephone Number : 334-239-2622
Fax Number :
Provider Business Practice Location Address
First Line : 7125 UNIVERSITY CT
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-8016
Country : US
Telephone Number : 334-239-2622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 11/18/2025

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