Provider Demographics
NPI:1376564450
Name:CAMPWALA, KHOZEMA HATIM (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KHOZEMA
Middle Name:HATIM
Last Name:CAMPWALA
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:3765 HEDGE LN
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-7753
Mailing Address - Country:US
Mailing Address - Phone:805-482-8725
Mailing Address - Fax:805-482-8725
Practice Address - Street 1:138 WEST MAIN STREET
Practice Address - Street 2:SUITE E
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001
Practice Address - Country:US
Practice Address - Phone:805-667-2850
Practice Address - Fax:805-652-0708
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA81807207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine