Kids Doc Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

043638 Issued in GA

Legal business name

KIDS DOC PEDIATRICS

Practice address

3100 Five Forks Trickum Rd SW Ste 204
Lilburn, GA 30047-1887

Phone

(770) 978-7701

Fax

(770) 978-7822

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Akber H Hashim, M.D.NPI 1487601746

Title

President

Phone

(770) 978-7701

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Akber H Hashim, MD

  • Pediatrics Physician
  • Liburn, GA
  • NPI 1487601746
  NPD (past) Authorized official
• Kanwal Dhanani, PA

  • Physician Assistant
  • Lawrenceville, GA
  • NPI 1073878898
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1932374618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 FIVE FORKS TRICKUM RD SW STE 204",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471887",
            "telephone_number": "770-978-7701",
            "fax_number": "770-978-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 FIVE FORKS TRICKUM RD SW STE 204",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471887",
            "telephone_number": "770-978-7701",
            "fax_number": "770-978-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DOC PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "HASHIM",
        "authorized_official_first_name": "AKBER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-978-7701",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "043638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000809817N",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sahar Khan, PA
• Samina Khatri, RPH
• Wajiha Khatri
• Mardiyah Khoulani, PHARMD
• Mnowar Khoulani
• Killian Hill Orthopaedic & Sports Medicine Clinic, PC
• Killian Hill RX LLC (Killian Hill Pharmacy)
• Kelsey Reigh Killian-Purser, RN
• Sin Yeong Kim
• Kindtouch Healthcare Services LLC

• Primary Care Clinic/Center in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.