Provider Demographics
NPI:1437656691
Name:KHAWAJA, SALEEM (MD)
Entity Type:Individual
Prefix:DR
First Name:SALEEM
Middle Name:
Last Name:KHAWAJA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:988435 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-8435
Mailing Address - Country:US
Mailing Address - Phone:402-559-5804
Mailing Address - Fax:402-559-9213
Practice Address - Street 1:988435 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-3438
Practice Address - Country:US
Practice Address - Phone:402-559-5804
Practice Address - Fax:402-559-9213
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023006515207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine