Khan, Fazal M

Khan, Fazal M is an sole proprietor health care provider with primary practice located at 200 Wisteria Dr , Gainesville GA 30501-3827. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Brain Injury Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Khan, Fazal M can be contacted via phone (770) 219-5407.

Contact Information

Primary practice address
200 Wisteria Dr Gainesville GA 30501-3827
Phone: (770) 219-5407
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X MD-2008-0223 New Mexico
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X 76623 Georgia
Allopathic & Osteopathic Physicians / Brain Injury Medicine 2084P0301X 76623 Georgia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD-2008-0223 New Mexico
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 76623 Georgia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 76623 Georgia

Profile Details

NPI number 1003820291
LBN Legal business name Khan, Fazal M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Nov 8th, 2021 - about 3 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.

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