Organization
AXIS DERMATOLOGY LLC
Active
Organization
AXIS DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASAN KHOSRAVI MD, FAAD (CHIEF MEDICAL OFFICER)
(678) 890-8035
Entity
Organization
Contact information
Practice address
6460 SPALDING DR STE A, PEACHTREE CORNERS, GA 30092-1805
(678) 890-8035
(678) 487-5311
Mailing address
6460 SPALDING DR STE A, PEACHTREE CORNERS, GA 30092-1805
(678) 890-8035
(678) 487-5311
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/05/2026
Last updated
06/08/2026
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