Individual ProviderHaris KhwajaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address9500 Euclid Ave, Desk A-53 C/O Nada Johnson, Cleveland Clinic, Cleveland, OH 44195(216) 445-9863(216) 647-6961PECOS EnrollmentBased on the most recent information from CMS, provider Haris Khwaja does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:28 AM.Profile DetailsProvider ID1104056696Provider TypeIndividualFull NameKhwaja, HarisTitleDr.CredentialM.D, PHD, FRCSGenderMaleSole ProprietorYesEnumeration Date7/20/2009Last Updated7/20/2009Contact InformationPractice LocationPractice Address9500 Euclid Ave, Desk A-53 C/O Nada Johnson, Cleveland Clinic, Cleveland, OH 44195Phone(216) 445-9863Fax(216) 445-1636Mailing LocationMailing Address30 Severance Cir Apt 604, Kensington Place, Cleveland Heights, OH 44118-5504Phone(216) 647-6961FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense57.015928Ohio