Khan, Mohammad A
Khan, Mohammad A is an sole proprietor health care provider with primary practice located at 754 Cherokee St Ne Suite A, Marietta GA 30060-7209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khan, Mohammad A can be contacted via phone (770) 428-8118.Contact Information
Primary practice address
754 Cherokee St Ne Suite A
Marietta GA 30060-7209
Phone: (770) 428-8118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 042314 | Georgia |
Profile Details
| NPI number | 1194792382 |
|---|---|
| LBN Legal business name | Khan, Mohammad A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Dec 26th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194792382 | NPPES |
| Georgia | MEDICAID | 00728307N | |
| Georgia | Other | 582587211 |
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