Provider Demographics
NPI:1881369890
Name:KHOJA, ZOHRA KASSAM ALI (FNP)
Entity type:Individual
Prefix:
First Name:ZOHRA
Middle Name:KASSAM ALI
Last Name:KHOJA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 ABIGAIL LN
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-3976
Mailing Address - Country:US
Mailing Address - Phone:832-526-7846
Mailing Address - Fax:
Practice Address - Street 1:17500 HIGHWAY 3 STE B
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4153
Practice Address - Country:US
Practice Address - Phone:281-338-2098
Practice Address - Fax:281-557-4369
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1036009363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily