Provider Demographics
NPI:1699089508
Name:KHAWAR, TALHA (MD)
Entity type:Individual
Prefix:
First Name:TALHA
Middle Name:
Last Name:KHAWAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1975 VERDUGO BLVD
Mailing Address - Street 2:
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011-3022
Mailing Address - Country:US
Mailing Address - Phone:818-541-1134
Mailing Address - Fax:818-249-9420
Practice Address - Street 1:1975 VERDUGO BLVD
Practice Address - Street 2:
Practice Address - City:LA CANADA
Practice Address - State:CA
Practice Address - Zip Code:91011
Practice Address - Country:US
Practice Address - Phone:818-541-1134
Practice Address - Fax:818-249-9420
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA114544207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine