DR. KHURRAM A KHAN (NPI# 1063677011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063677011 |
| Entity Type | Individual |
| Full Name | DR. KHURRAM A KHAN |
| Credential | M.D. |
| Practice Address |
500 Springhouse Cir Stone Mountain GA 30087-6741 |
| Mailing Address |
954 Woodward Park Dr Suwanee GA 30024-2859 |
| Practice Telephone | 7708794330 |
| Practice Fax Number | 6786843066 |
| Mailing Telephone | 6786655370 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2018-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
067490 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1821 Clifton Rd Ne, Atlanta, GA 303294021 | 4047286363 | 4047286298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386887206 | Khurram Hayat Khan | Licensed Practical Nurse | 16 Tammy Dr, Middletown, NY 10941-2052 | 2009-04-07 |
| 1659390540 | Khurram H Khan | Podiatrist | 148 N 8th St, Philadelphia, PA 19107 | 2006-07-19 |
| 1336521897 | Khurram I Khan | Internal Medicine | 2655 W Baker Rd, Baytown, TX 77521 | 2015-06-22 |
| 1073755187 | Khurram Ashraf Khan | Dentist | 7523 State Rd, Cincinnati, OH 45255-2438 | 2009-04-03 |
| 1730370586 | Khurram A Khan | Internal Medicine | 3 Erie Ct, Suite L-600, Oak Park, IL 60302-2519 | 2007-08-07 |
| 1669682779 | Khurram Khan | Anesthesiology | 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 | 2007-05-23 |
| 1417164062 | Khurram Jehangir Khan | Physical Medicine & Rehabilitation | 200 N Madison St, Marshall, MI 49068 | 2007-05-16 |
| 1033321955 | Khurram Ahmad Khan | Surgery | 1633 Medical Center Point, Colorado Springs, CO 80907 | 2007-05-04 |
| 1891740429 | Khurram Khan | Physical Therapist | 2124 30th Ave, Suite C1, Astoria, NY 11102-4189 | 2006-05-23 |
| Street Address |
500 SPRINGHOUSE CIR |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087-6741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750416061 | Shona R. Alexander | Nurse Practitioner | 500 Springhouse Cir, Stone Mountain, GA 30087-6718 | 2007-02-23 |
| 1033670872 | Marinda Burns-zanders | Occupational Therapy Assistant | 500 Springhouse Cir, Stone Mountain, GA 30087-6741 | 2019-03-26 |
| 1497164305 | Corey Edward Klein | Physical Therapist | 500 Springhouse Cir, Stone Mountain, GA 30087-6741 | 2014-08-05 |
| 1184061889 | Village Podiatry Group, LLC | Podiatrist | 500 Springhouse Cir, Bldg. 500, Stone Mountain, GA 30087-6741 | 2013-06-04 |
| 1205031507 | Park Springs, LLC | Home Health | 500 Springhouse Cir, Stone Mountain, GA 30087-6718 | 2007-06-18 |
| 1962628669 | Park Springs, LLC | Clinic/Center | 500 Springhouse Cir, Stone Mountain, GA 30087-6718 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295366292 | B Mata LLC | Family Medicine | 1631 Atlanta Hwy, Gainesville, GA 30504-5942 | 2020-01-28 |
| 1558916056 | Newtown Park Medical Clinic and Geriatrics LLC | Family Medicine | 2880 Old Alabama Rd #300, Johns Creek, GA 30022-5033 | 2019-08-02 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1215471479 | Deana Perkins | Family Medicine | 756 Arrowhead Lake Rd, Thomaston, GA 30286-5004 | 2016-12-07 |
| 1255731741 | Jafar Tabatabai M.d. P.C. | Family Medicine | 7961 Highway 92 Ste 100, Woodstock, GA 30189-5209 | 2014-09-03 |
| 1457604381 | Senior Care Plus Limited Liability Company | Family Medicine | 990 Peachtree Industrial Blvd Number 4532, Suwanee, GA 30024-5249 | 2012-10-16 |
| 1053662296 | Community Primary Care of Georgia LLC | Family Medicine | 946 Veterans Pkwy, Barnesville, GA 30204-3771 | 2012-09-27 |
| 1669770954 | J&a Wood, LLC | Family Medicine | 2724 Grey Fox Ct, Haddock, GA 31033-6009 | 2011-03-10 |
| 1043442080 | Sam Peng Md PC | Family Medicine | 1622 Rivergreen Bnd Se, Atlanta, GA 30339-8546 | 2009-08-10 |
| 1134259369 | Rina Eisenstein | Family Medicine | 215 Arbor Creek Way, Roswell, GA 30076-1291 | 2007-03-06 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
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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.