MEDICARE: NAJMA KHAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PH0002X	Hospice and Palliative Medicine (Emergency Medicine) Physician	059259	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982670105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAJMA KHAN M.D.

Provider Business Mailing Address
First Line	:	938 WOOD DUCK CT
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-7728
Country	:	US
Telephone Number	:	917-523-2160
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 MEDICAL CENTER BLVD
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30045-7694
Country	:	US
Telephone Number	:	678-442-3317
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	07/08/2007

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