Provider Demographics
NPI:1023570876
Name:KHAWAJA, MUZAMIL AHMED
Entity type:Individual
Prefix:
First Name:MUZAMIL
Middle Name:AHMED
Last Name:KHAWAJA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10710 FLAMINGO FEATHER CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-8624
Mailing Address - Country:US
Mailing Address - Phone:601-613-6632
Mailing Address - Fax:
Practice Address - Street 1:26424 STRAKE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-1916
Practice Address - Country:US
Practice Address - Phone:936-270-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-02
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS9328207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty