MEDICARE: DR. MAZHAR KHOWAJA

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	2084P0800X	Psychiatry Physician	4301069118	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0823651	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1770523276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAZHAR KHOWAJA

Provider Business Mailing Address
First Line	:	10777 STELLA LINK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-5639
Country	:	US
Telephone Number	:	713-592-9292
Fax Number	:	713-592-9296

Provider Business Practice Location Address
First Line	:	10777 STELLA LINK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-5639
Country	:	US
Telephone Number	:	713-592-9292
Fax Number	:	713-592-9296

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	06/08/2011

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