Whalio Doctors

NPI 1003820291

Fazal M Khan, MD

Practitioner Psychiatry Physician Gainesville, GA

Practice location

Address
200 Wisteria Dr, Gainesville, GA 30501-3827
Phone
(770) 219-5407
Mailing address
PO Box 742616, Atlanta, GA 30374-2616

Registered specialties (7)

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 76623 (GA)
Addiction Medicine (Preventive Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 2083A0300X Licence 76623 (GA)
Behavioral Neurology & Neuropsychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084B0040X Licence MD-2008-0223 (NM)
Behavioral Neurology & Neuropsychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084B0040X Licence 76623 (GA)
Brain Injury Medicine (Psychiatry & Neurology) Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0301X Licence 76623 (GA)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence MD-2008-0223 (NM)
Geriatric Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0805X Licence 76623 (GA)

Registry record

NPI
1003820291
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Jul 2006
Record last updated
8 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.