Provider Demographics
NPI:1326059387
Name:KAWJI, SHAHEM (MD)
Entity Type:Individual
Prefix:
First Name:SHAHEM
Middle Name:
Last Name:KAWJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AHMED
Other - Middle Name:SHAHEM
Other - Last Name:KAWJI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:20311 SW BIRCH ST STE 150
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-1779
Mailing Address - Country:US
Mailing Address - Phone:949-427-2020
Mailing Address - Fax:949-579-2601
Practice Address - Street 1:20311 SW BIRCH ST STE 150
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-1779
Practice Address - Country:US
Practice Address - Phone:949-427-2020
Practice Address - Fax:949-579-2601
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93120207R00000X, 207WX0107X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist