Provider Demographics
NPI:1598400137
Name:KHOWAJA, SANOBER
Entity type:Individual
Prefix:
First Name:SANOBER
Middle Name:
Last Name:KHOWAJA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 VILLAGE PKWY
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3327
Mailing Address - Country:US
Mailing Address - Phone:972-317-6000
Mailing Address - Fax:972-317-6011
Practice Address - Street 1:2200 VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3327
Practice Address - Country:US
Practice Address - Phone:972-317-6000
Practice Address - Fax:972-317-6011
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX747316208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics