Provider Demographics
NPI:1760923361
Name:KHAWAJA, NATASHA
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:KHAWAJA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 N HIGHLAND ST UNIT 223
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-2175
Mailing Address - Country:US
Mailing Address - Phone:022-706-7832
Mailing Address - Fax:
Practice Address - Street 1:UPPER CARDOZO COMMUNITY HEALTH CENTER
Practice Address - Street 2:320 14TH STREET NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009
Practice Address - Country:US
Practice Address - Phone:027-454-3002
Practice Address - Fax:202-548-8600
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-15
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDO034951207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine