Khan, Jeremy S
Khan, Jeremy S is an sole proprietor health care provider with primary practice located at 759 Peachtree Pkwy Suite 3, Cumming GA 30041-9350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Khan, Jeremy S can be contacted via phone (404) 804-0024.Contact Information
Primary practice address
759 Peachtree Pkwy Suite 3
Cumming GA 30041-9350
Phone: (404) 804-0024
Fax: (470) 237-2457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 054439 | Georgia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | GA054439 | Georgia |
Profile Details
| NPI number | 1497794135 |
|---|---|
| LBN Legal business name | Khan, Jeremy S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Oct 31st, 2014 - about 10 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 | 1497794135 | NPPES |
| Georgia | MEDICAID | 608617837A |
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