Individual
KHALED KASHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 LACY ST NW, MARIETTA, GA 30060-1112
(770) 427-0368
Mailing address
80 LACY ST NW, MARIETTA, GA 30060-1112
(770) 427-0368
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
88729
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
03/28/2016
Last updated
06/04/2021
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