1. Home
  2. Directory
  3. California
  4. Clovis
  5. Thoracic Surgery Cardiothoracic Vascular Surgery
  6. NPI Profile

SHAMSUDDIN KHWAJA M D INC
NPI 1699006650
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Clovis, CA

Active since January 14, 2010
729 WEST MEDICAL CENTER DR W SUITE 223, CLOVIS, CA 93611(559) 449-9990(559) 449-9991 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shamsuddin Khwaja M D Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAMSUDDIN KHWAJA M D INC (NPI 1699006650) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Clovis, California and active in the NPI registry since January 2010. The organization maintains a secondary practice location in Fresno and lists Gloria Supernaw, Billing Contracting Mgr, as its authorized official.

NPPES Registry Identity

NPI1699006650
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameSHAMSUDDIN KHWAJA M D INC
Location Address729 WEST MEDICAL CENTER DR W SUITE 223Clovis, CA 93611-6885
Mailing Address729 West Medical Center Dr W Suite 223Clovis, CA 93611-6885 · (559) 449-9990 · Fax (559) 449-9991
Phone(559) 449-9990
Fax(559) 449-9991
Organization SubpartNo
Authorized OfficialGloria SupernawBilling Contracting Mgr · (559) 935-5491
Enumeration DateJanuary 14, 2010
Last NPPES UpdateFebruary 6, 2020
✔ NPI 1699006650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in CA · A859070
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
729 WEST MEDICAL CENTER DR W SUITE 223, Clovis, CA 93611
Open in Google Maps ↗

Secondary Practice Location 1

Location 17575 N Cedar Ave Ste 101Fresno, CA 93720-2693 · Phone (559) 449-9990 · Fax (559) 449-9991

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shamsuddin Khwaja M D Inc's NPI number?

The NPI number for Shamsuddin Khwaja M D Inc is 1699006650. It was assigned to this organization in the NPPES registry on January 14, 2010.

Where is Shamsuddin Khwaja M D Inc located?

Shamsuddin Khwaja M D Inc is located at 729 West Medical Center Dr W Suite 223, Clovis, CA 93611. The listed phone number is (559) 449-9990.

What is Shamsuddin Khwaja M D Inc's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Shamsuddin Khwaja M D Inc was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.