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Individual

RIZWAN KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2000 16TH AVENUE, COLUMBUS, GA 31901-1665
(706) 320-3770
(706) 320-3772
Mailing address
PO BOX 8824, COLUMBUS, GA 31908-8824
(706) 320-3770
(706) 320-3772

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
063251
GA
2084P0800X
Psychiatry Physician
RTP001885
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120653
AL
05
207053467A
GA
Enumeration date
05/01/2007
Last updated
08/04/2015
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