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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. FAZAL M KHAN, MD

Active Sole Proprietor

DR. FAZAL M KHAN, MD is a Psychiatry healthcare provider located in GAINESVILLE, Georgia. NPI 1003820291 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · GAINESVILLE, GA

Registration Details

NPI Number
1003820291
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2006 (19.865459636889 yrs)
Last Updated
Nov 8, 2021
Licenses
76623 (GA)
MD-2008-0223 (NM)
76623 (GA)
76623 (GA)
MD-2008-0223 (NM)
Sole Proprietor
Yes

Practice Information

Address
200 WISTERIA DR
GAINESVILLE, GA, 305013827
Browse GA providers · Browse ZIP 30501
Phone
7702195407
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
2084B0040X
Additional Specialty
2084B0040X
Additional Specialty
Child & Adolescent Psychiatry
Additional Specialty
Psychiatry

Other Psychiatry Providers in GAINESVILLE, GA

Name Credential NPI
SHAHZAD M HASHMI M.D. 1770566341
MRS. LISA ANN WIRTH MD 1932171758
MRS. AMELIA SIKA MATHEW MD 1376562488
DR. KENNETH E. GOOLSBY M.D. 1366457012
JOHN ALEXANDER CONNELL M.D. 1386748622
DR. POLINA P SHVARTS M.D. 1023113552
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.