Mohammad a. Khan, M.D. LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

042314 Issued in GA

Legal business name

MOHAMMAD A. KHAN, M.D. LLC

Practice address

754 Cherokee St NE
Suite a
Marietta, GA 30060-8955

Phone

(770) 428-8118

Fax

(770) 428-8854

NPI assigned

Jan 25, 2013

Organization subpart

Yes

Parent organization

MOHAMMAD A. KHAN, M.D.As reported in NPPES

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

Authorized official

Name

Dr. Mohammad A Khan, M.D.

Title

M.D.

Phone

(770) 428-8118

Specialties & licenses 1

Addresses

Part of

Mohammad a Khan MD LLC

Locations

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1972841963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 CHEROKEE ST NE",
            "address_2": "SUITE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608955",
            "telephone_number": "770-428-8118",
            "fax_number": "770-428-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 CHEROKEE ST NE",
            "address_2": "SUITE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608955",
            "telephone_number": "770-428-8118",
            "fax_number": "770-428-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD A. KHAN, M.D. LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOHAMMAD A. KHAN, M.D.",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "770-428-8118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "042314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayatree Sant Modak
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• Mitra Mofid, M.D.
• Fabeeha Mohammad, DO
• Sheila Kori Mohan, M.D.
• Shaila Mohip-Chahwala, DDS
• Conner Mohr
• Jennifer Lynn Moleski-Frickel, D.C.

• Primary Care Clinic/Center in Marietta, GA
• Providers in Marietta, 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 Jan 25, 2013; 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.