Individual provider · NPI-1

Dr. Samreen Khuwaja, M.D

Internal Medicine · Port Arthur, TX

NPI number1033640909
StatusActive
Last updated in NPPESJul 17, 2020

Details

NPI
1033640909
Entity type
Individual (NPI-1)
Name
Dr. Samreen Khuwaja
Credential
M.D
Sex
Female
Sole proprietor
No
Enumeration date
Mar 23, 2017
Certification date
Jul 17, 2020
Last updated
Jul 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineS5952TXYes

Practice location

4116 Blackberry Ln
Port Arthur, TX 77642-7209

Phone 409-999-2409

Mailing address

4116 Blackberry Ln
Port Arthur, TX 77642-7209

Phone 409-999-2409

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