Ishtiaq A. Khan, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

024280 Issued in GA

Practice address

791 Oak St
Hapeville, GA 30354-1748

Phone

(404) 601-2000

Fax

(404) 559-0257

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679618037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 OAK ST",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541748",
            "telephone_number": "404-601-2000",
            "fax_number": "404-559-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 OAK ST",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541748",
            "telephone_number": "404-601-2000",
            "fax_number": "404-559-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ISHTIAQ",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "024280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insight Wellness Solutions Inc
• Gregory Jackson
• Kwenda Kikora Johnson, P.A.
• Sydney Renee Kesler
• Khan Orthopaedics Associate (Khan Ortho)
• Kopacetic Khiropractic LLC. (Kopacetic Khiropractic)
• Shailesh S Kothari, D.C.
• Ann Hall Labar, PA-C
• Nicola B Lee, M.D.
• Shekita Hall Lee, LPC

• Specialist in Hapeville, GA
• Providers in Hapeville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.