Individual
DR. ISHTIAQ A. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
791 OAK ST, HAPEVILLE, GA 30354-1748
(404) 601-2000
(404) 559-0257
Mailing address
791 OAK ST, HAPEVILLE, GA 30354-1748
(404) 601-2000
(404) 559-0257
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
024280
GA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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