Active NPI
Khan Baba LLC
- Durable Medical Equipment & Medical Supplies
- Lawrenceville, GA
National Provider Identifier
1558204644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- KHAN BABA LLC
- Practice address
- 1858 Stonebrook Way
Lawrenceville, GA 30043-2933 - Phone
- (501) 208-8006
- Fax
- (213) 449-3733
- NPI assigned
- Apr 13, 2026
- Last updated
- Apr 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Haris Khan
- Title
- Manager
- Phone
- (501) 208-8006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1858 Stonebrook Way
Lawrenceville, GA 30043-2933
Mailing address
1858 Stonebrook Way
Lawrenceville, GA 30043-2933
Phone (501) 208-8006
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Durable Medical Equipment & Medical Supplies
- Lawrenceville, GA
- NPI 1235057589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776038400000",
"number": "1558204644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1858 STONEBROOK WAY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300432933",
"telephone_number": "501-208-8006",
"fax_number": "213-449-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1858 STONEBROOK WAY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300432933",
"telephone_number": "501-208-8006",
"fax_number": "213-449-3733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHAN BABA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "HARIS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "501-208-8006"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.