Active NPI
Razaullah Khwaja, MD
- Surgery Physician
- Rising Sun, MD
National Provider Identifier
1659337723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D38804
- Practice address
- 101 Colonial Way
Suite B
Rising Sun, MD 21911-2283 - Phone
- (410) 658-8420
- Fax
- (410) 658-4842
- NPI assigned
- Apr 26, 2006
- Last updated
- Apr 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D38804 | MD | Primary |
| Surgery Physician | 208600000X | MD0388251 | PA |
Addresses
Primary practice location
101 Colonial Way
Suite B
Rising Sun, MD 21911-2283
Mailing address
PO Box 190
Elkton, MD 21922-0190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0388251 | PA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396569600000",
"number": "1659337723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "ELKTON",
"state": "MD",
"postal_code": "219220190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 COLONIAL WAY",
"address_2": "SUITE B",
"city": "RISING SUN",
"state": "MD",
"postal_code": "219112283",
"telephone_number": "410-658-8420",
"fax_number": "410-658-4842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHWAJA",
"first_name": "RAZAULLAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D38804",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD0388251",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rising Sun, MD
- Dominick Joseph Guessford, P.T.A., A.T.C.
- Frederick Earl Jenkins III
- Nichole Rose Jones, LCPC
- Joseph K. Weidner Jr MD LLC (Stone Run Family Medicine)
- Sarah Elizabeth Keesee, LCPC
- Lisa Lynn Kirk, REGISTERED PHARMACIS
- Kyleigh Brooke Knell
- Neil Lattin, MD
- Rebecca Noelle Lonoza, PTA
- M Medical Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.