Individual
DR. KHWAJA FAHAD HAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(470) 267-1764
(470) 986-7002
Mailing address
3825 MEDICAL PARK DR STE 100, AUSTELL, GA 30106-6831
(470) 267-1764
(470) 986-7002
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101275676
VA
207RG0100X
Gastroenterology Physician
311119
NY
207RG0100X
Gastroenterology Physician
Primary
91748
GA
390200000X
Student in an Organized Health Care Education/Training Program
4301114404
MI
Other
Enumeration date
09/25/2014
Last updated
10/29/2022
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