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Contact Information

FAZAL M KHAN, MD
200 WISTERIA DR
GAINESVILLE, GA30501-3827
 Phone: 770-219-5407
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Brain Injury Medicine

2084P0301X 86 Physician/Neuropsychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for FAZAL M KHAN · (Male)

NPI Number 1003820291
Status Active
Credentials MD
Entity Individual
Enumeration date 07/27/2006
Last updated 11/08/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 76623
  • NM License # MD-2008-0223
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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