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Contact Information

OMAR T KHAN, DO
102 MARY ALICE PARK RD STE 805
CUMMING, GA30040-2664
 Phone: 770-284-3150
 Fax: 770-284-3170
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for OMAR T KHAN · (Male)

NPI # 1144480310
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/11/2008
Last updated 05/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 063250
  • NY License # 254550
Hospital affiliation(s)
  • NORTHEAST GEORGIA MEDICAL CENTER INC - (Acute Care)
    743 SPRING STREET
    GAINESVILLE, GA 30501
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
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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