Most Relevant Information
Provider Data
| NPI Number: | 1003805805 |
| Provider Name: | ASIM A. KHWAJA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | 28883 |
Most Important Dates
| Enumeration Date: | 10/14/2005 |
| Last Updated: | 02/15/2011 |
Provider Practice Location
1125 E SOUTHERN AVE
SUITE 300
MESA
AZ
852045045
Practice Location Phone/Fax
| Phone: | 4805458119 |
| Fax: | 4809268332 |
Provider Mailing Location
1125 E SOUTHERN AVE
SUITE 300
MESA
AZ
852045045
Provider Mailing Phone/Fax
| Phone: | 4805458119 |
| Fax: | 4809268332 |