Individual
DR. FAZAL M KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 WISTERIA DR, GAINESVILLE, GA 30501-3827
(770) 219-5407
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
76623
GA
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
76623
GA
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
MD-2008-0223
NM
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
76623
GA
2084P0800X
Psychiatry Physician
Primary
76623
GA
2084P0800X
Psychiatry Physician
MD-2008-0223
NM
2084P0805X
Geriatric Psychiatry Physician
76623
GA
Other
Enumeration date
07/27/2006
Last updated
11/08/2021
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