Provider Demographics
NPI:1821236811
Name:HUSAIN, KHAWAJA OMAIR (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KHAWAJA
Middle Name:OMAIR
Last Name:HUSAIN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18205 PIEDRA DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-7633
Mailing Address - Country:US
Mailing Address - Phone:405-596-4435
Mailing Address - Fax:405-216-3182
Practice Address - Street 1:7200 WOLVERTON CT
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-1741
Practice Address - Country:US
Practice Address - Phone:303-910-7099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-28
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD80254207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine