Individual
DR. OMAR T KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
102 MARY ALICE PARK RD STE 805, CUMMING, GA 30040-2664
(770) 284-3150
(770) 284-3170
Mailing address
11685 ALPHARETTA HWY STE 120, ROSWELL, GA 30076-4910
(770) 284-3150
(770) 284-3170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
254550
NY
207RR0500X
Rheumatology Physician
Primary
063250
GA
Other
Enumeration date
06/11/2008
Last updated
05/23/2019
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