DR. OMAR T KHAN (NPI# 1144480310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144480310 |
Entity Type | Individual |
Full Name | DR. OMAR T KHAN |
Credential | DO |
Practice Address |
102 Mary Alice Park Rd Ste 805 Cumming GA 30040-2664 |
Mailing Address |
11685 Alpharetta Hwy Ste 120 Roswell GA 30076-4910 |
Practice Telephone | 7702843150 |
Practice Fax Number | 7702843170 |
Mailing Telephone | 7702843150 |
Mailing Fax Number | 7702843170 |
Enumeration Date | 2008-06-11 |
Last Update Date | 2019-05-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 254550 | NY | Allopathic & Osteopathic Physicians |
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
063250 | GA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
907 18th St E, Suite 490, Tifton, GA 317943643 | 2293913320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811938491 | Omar A. Khan | Family Medicine | 1309 Veale Rd, Suite 11, Wilmington, DE 19810-4609 | 2006-06-08 |
1669031811 | Omar Khan | Psychiatry & Neurology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2019-06-11 |
1699338517 | Omar Asad Khan | Internal Medicine | 55 Fruit St, Boston, MA 02114-2696 | 2019-04-16 |
1285196030 | Omar Khan | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2019-04-02 |
1730617135 | Omar Ahmed Khan | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2017-05-30 |
1952758609 | Omar Ahmad Khan | Psychiatry & Neurology | 550 1st Ave, Nyu Langone Medical Center, New York, NY 10016 | 2016-05-23 |
1104211309 | Omar Khan | Radiology | 55 Fruit St # 210, Boston, MA 02114-2696 | 2015-04-03 |
1952728909 | Omar Khan | Pharmacist | 1124 Patton Ave, Asheville, NC 28806-2706 | 2014-03-27 |
1972898856 | Omar Ali Khan | Urology | 3020 N Mccord Rd Ste 100, Toledo, OH 43615-1701 | 2011-06-18 |
1720378003 | Omar Khan | Pathology | 7455 W Washington Ave Ste 301, Las Vegas, NV 89128-4340 | 2011-04-08 |
Street Address |
102 MARY ALICE PARK RD STE 805 |
City | CUMMING |
State | GA |
Zip Code | 30040-2664 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
Find all providers in zip 30040 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841446721 | Amita Thakkar | Internal Medicine | 2000 Howard Farm Dr Ste 400, Cumming, GA 30041 | 2008-08-12 |
1922028034 | Jagindra N Mangru | Internal Medicine | 3970 Deputy Bill Cantrell Memorial Road, Ste 203, Cumming, GA 30040-3004 | 2006-07-20 |
1326189119 | Bob G. Lanier, Md, PC | Internal Medicine | 4730 Hammond Industrial Dr, Suite 400, Cumming, GA 30041-3917 | 2007-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154954758 | James Clark | Internal Medicine | 1409 Satilla Blvd, Waycross, GA 31501-4322 | 2020-02-21 |
1609428325 | Duluth Regenerative and Joint Institute LLC | Internal Medicine | 4181 Pleasant Hill Rd Ste 150, Duluth, GA 30096-6387 | 2019-07-12 |
1629464805 | Articularis Healthcare Group Inc. | Internal Medicine | 961 Smoky Mountain Springs Ln Ne Ste A, Gainesville, GA 30501-2418 | 2015-04-14 |
1013312040 | Heart of Georgia Rheumatology LLC | Internal Medicine | 1508 Hardeman Ave Ste A, Macon, GA 31201-1471 | 2014-11-04 |
1770922072 | Suzana Alex John | Internal Medicine | 247 Whitehead Biomedical Research Bldg 615 Michael St, Atlanta, GA 30322 | 2013-06-19 |
1083960447 | Taik Kim | Internal Medicine | 11685 Alpharetta Hwy Ste 120, Roswell, GA 30076-4910 | 2012-08-02 |
1851655518 | Romy Nicolas Abou Mrad | Internal Medicine | 1659 Briarcliff Rd Ne, Appartment # 1302, Atlanta, GA 30306-2119 | 2012-06-27 |
1881960383 | Manmohan Gupta M.d., P.C. | Internal Medicine | 770 Pine St., Suite 440, Macon, GA 31201-7599 | 2012-03-29 |
1669744769 | Padmanaidu Karnam | Internal Medicine | 1622 Mars Hill Rd Ste C, Watkinsville, GA 30677-4893 | 2012-02-03 |
1043517683 | Jatin Patel | Internal Medicine | 11685 Alpharetta Highway, Suite 120, Roswell, GA 30076 | 2011-02-17 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.