DR. OMAR T KHAN


Address: 102 Mary Alice Park Rd Ste 805, Cumming, GA 30040-2664
Phone: 7702843150

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
907 18th St E, Suite 490, Tifton, GA 317943643 2293913320

Other Providers OMAR KHAN

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

Office Location

Street Address 102 MARY ALICE PARK RD STE 805
City CUMMING
State GA
Zip Code 30040-2664

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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City CUMMING
Zip Code 30040

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Dataset Information

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.

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