Ali Khawaja MD PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

D0068680 Issued in MD

Legal business name

ALI KHAWAJA MD PLLC

Practice address

3713 Mackall St
Frederick, MD 21704-7934

Phone

(301) 244-8661

Fax

(301) 618-0404

NPI assigned

Jun 20, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ali Imran Khawaja, M.D.

Title

President

Phone

(301) 244-8661

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1821448085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WESTERN MARYLAND PKWY",
            "address_2": "SUITE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405471",
            "telephone_number": "301-244-8661",
            "fax_number": "301-618-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 MACKALL ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047934",
            "telephone_number": "301-244-8661",
            "fax_number": "301-618-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI KHAWAJA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "KHAWAJA",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "IMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-244-8661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0068680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David I Alexander
• Matthew Lane Alexander
• Morgan Alexander, M.S. CCC-SLP
• Lorena Carolina Alfaro
• Ronald Alger
• Aamira Tabassum Ali, PHARMD
• Alice J Berlin LCSW-C LLC
• Angelica Alicea
• Jessica Aliyev
• All About Kids Pediatrics LLC

• Physical Medicine & Rehabilitation Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.