NPI 1003820291
Fazal M Khan, MD
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
Addiction Medicine (Preventive Medicine) Physician
Behavioral Neurology & Neuropsychiatry Physician
Behavioral Neurology & Neuropsychiatry Physician
Brain Injury Medicine (Psychiatry & Neurology) Physician
Psychiatry Physician
Geriatric Psychiatry Physician
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.