Khan, Imtiaz Ahmad

Khan, Imtiaz Ahmad is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30045-7694. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Khan, Imtiaz Ahmad can be contacted via phone (678) 442-3317.

Contact Information

Primary practice address
1000 Medical Center Blvd Lawrenceville GA 30045-7694
Phone: (678) 442-3317
Fax: (678) 442-4416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 035077 Georgia

Profile Details

NPI number 1356481261
LBN Legal business name Khan, Imtiaz Ahmad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356481261 NPPES
Georgia MEDICAID 00538964D

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