Organization
ADVANCE LAPAROSCOPIC SURGERY INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHAD M KHAN M.D. (OWNER)
(678) 333-3584
Entity
Organization
Contact information
Practice address
3890 JOHNS CREEK PKWY, SUITE 240, SUWANEE, GA 30024-1284
(678) 333-3584
(678) 668-7965
Mailing address
PO BOX 62600, DEPT. 1867, NEW ORLEANS, LA 70162-2600
(678) 333-3584
(678) 668-7965
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
055763
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402816379A
—
GA
Enumeration date
01/18/2011
Last updated
03/11/2011
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