Organization
AESTHETICS INTERNATIONAL USA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSAIN ALI KHAN M.D. (OWNER)
(404) 805-2821
Entity
Organization
Contact information
Practice address
11975 MORRIS RD, SUITE 220, ALPHARETTA, GA 30005-4419
(678) 691-0880
(770) 733-1511
Mailing address
11975 MORRIS RD, SUITE 220, ALPHARETTA, GA 30005-4419
(678) 691-0880
(770) 733-1511
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
51423
GA
207QB0002X
Obesity Medicine (Family Medicine) Physician
55763
GA
208200000X
Plastic Surgery Physician
Primary
51423
GA
208600000X
Surgery Physician
55763
GA
Other
Enumeration date
06/08/2015
Last updated
09/30/2015
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