DR. KHALID KHWAJA (NPI# 1497793277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497793277 |
Entity Type | Individual |
Full Name | DR. KHALID KHWAJA |
Credential | M.D. |
Practice Address |
Lahey Clinic 41 Mall Rd 4 West Burlington MA 01805-0001 |
Practice Telephone | 7817442500 |
Practice Fax Number | 7817445743 |
Mailing Telephone | 7817442500 |
Mailing Fax Number | 7817445743 |
Enumeration Date | 2006-06-03 |
Last Update Date | 2011-03-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204F00000X | Transplant Surgery | 216356 | MA | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 216356 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 0188921 | 05 |
Street Address |
LAHEY CLINIC 41 MALL RD 4 WEST |
City | BURLINGTON |
State | MA |
Zip Code | 01805-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275569972 | Christopher T. Pyne | Internal Medicine | Lahey Clinic 41 Mall Rd, Burlington, MA 01805-0001 | 2006-06-24 |
1386164226 | Shakti Aishwarya Nochur | Student in an Organized Health Care Education/Training Program | Lahey Clinic 41 Mall Rd, Burlington, MA 01805-0001 | 2017-06-21 |
1710054713 | Kelly M. Ciccone | Physician Assistant | Lahey Clinic 41 Mall Rd, Burlington, MA 01805-0001 | 2006-11-29 |
1841384195 | John F. Bresette | Urology | Lahey Clinic 41 Mall Rd, Burlington, MA 01805-0001 | 2006-10-03 |
1851483168 | Mary Ann Tremble | Nurse Practitioner | Lahey Clinic 41 Mall Rd, Burlington, MA 01805-0001 | 2006-09-28 |
1184715179 | Julie Elizabeth Crowley | Internal Medicine | Lahey Clinic 41 Mall Rd, Burlington, MA 01805-0001 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
Find all providers in zip 01805 |
Taxonomy Code | 204F00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Transplant Surgery |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831139906 | James Scarboro Bowman IIi | Transplant Surgery | 2425 Lacy St, Burlington, NC 27215 | 2006-06-07 |
1942715180 | Jaekeun Kim | Transplant Surgery | 41 Mall Rd, Burlington, MA 01805-0001 | 2017-12-11 |
1386887818 | Jaime Pineda | Transplant Surgery | 111 Colchester Ave., Uvm Medical Center - Surgery/transplant, Burlington, VT 05401 | 2009-04-14 |
1790903524 | Caroline Simon | Transplant Surgery | 41 Mall Rd, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2007-04-24 |
1942428784 | Yee Cheah | Transplant Surgery | 41 Mall Rd, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2007-04-24 |
1093839789 | Bartholomew John Kane IIi | Transplant Surgery | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2007-03-19 |
1679581300 | Peter Panagiotis Metrakos | Transplant Surgery | 1 S Prospect St, Uhc Campus, Renal/transplant - 4th Fl, Burlington, VT 05401-3456 | 2006-08-05 |
1659309615 | University of Vermont Medical Center Inc | Transplant Surgery | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-06-29 |
1518947860 | Roger Jenkins | Transplant Surgery | 41 Mall Rd, Lahey Clinic, Inc., Burlington, MA 01805-0001 | 2006-01-20 |
1245210517 | William Lewis | Transplant Surgery | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-01-20 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 01805 |
Please comment or provide details below to improve the information on DR. KHALID KHWAJA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.