Active NPI
Maha Al-Khawaja, M.B.B.S., MD
- Anatomic Pathology & Clinical Pathology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD45807
- Practice address
- 3495 Hacks Cross Rd
Memphis, TN 38125-8803 - Phone
- (901) 526-7444
- NPI assigned
- Jun 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Bryan, TX
- NPI 1154922235
Anatomic Pathology & Clinical Pathology, TX
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1912264862
-
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240618004449 | CA | Practitioner - Pathology | 0143416909 | Reassigns benefits to 1 organization |
| I20250123000987 | TX | Practitioner - Pathology | 0143416909 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD45807 | TN | MD | Anatomic Pathology & Clinical Pathology Physician |
| 11013316A | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Pathology Institute PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049
5601 Norris Canyon Rd
Ste 200
San Ramon, CA 94583
Phone (925) 277-3070
300 Utah Ave
Ste 150
South San Francisco, CA 94080
Phone (650) 835-4477
5700 Southwyck Blvd
Toledo, OH 43614
3201 University Dr E
Ste 300
Bryan, TX 77802
Phone (979) 321-6290
3201 University Dr E
Ste 330
Bryan, TX 77802
Phone (979) 321-6290
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 11013316A | IN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD45807 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3495 Hacks Cross Rd
Memphis, TN 38125-8803
Mailing address
3495 Hacks Cross Rd
Memphis, TN 38125-8803
Phone (901) 526-7444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 2, 2020.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1891955845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 HACKS CROSS RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381258803",
"telephone_number": "901-526-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 HACKS CROSS RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381258803",
"telephone_number": "901-526-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-KHAWAJA",
"first_name": "MAHA",
"credential": "M.B.B.S., MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11013316A",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "MD45807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.