Fahad Khan (NPI# 1073742029, PAC ID# 1456674241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1073742029 |
| PAC ID by PECOS | 1456674241 |
| Professional Enrollment ID | I20170907001281 |
| Full Name | Fahad Khan |
| Organization Legal Name | SOUTHSIDE KIDNEY CLINICS, PC |
| Address |
3580 Cameron Pkwy Stockbridge GA 30281-7816 |
| Phone Number | 7709966446 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 7810955408 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330023 | VASSAR BROTHERS MEDICAL CENTER |
| 110215 | PIEDMONT FAYETTE HOSPITAL |
| 110031 | WELLSTAR SPALDING REGIONAL HOSPITAL |
| 110191 | PIEDMONT HENRY HOSPITAL |
| 110165 | SOUTHERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 8454548500 | HEALTH QUEST MEDICAL PRACTICE, PC |
| 3580 Cameron Pkwy, Stockbridge, GA 30281-7816 | 7709966446 | SOUTHSIDE KIDNEY CLINICS, PC |
| Organization Legal Name | SOUTHSIDE KIDNEY CLINICS, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chadi Obeid | Nephrology | Southside Kidney Clinics, PC | 3580 Cameron Pkwy, Stockbridge, GA 30281-7816 |
| Mohamad Moussa Kassem | Nephrology | Southside Kidney Clinics, PC | 3580 Cameron Pkwy, Stockbridge, GA 30281-7816 |
| Lawrence E Bryant Jr. | Nurse Practitioner | Southside Kidney Clinics, PC | 3580 Cameron Pkwy, Stockbridge, GA 30281-7816 |
| Street Address |
3580 CAMERON PKWY |
| City | STOCKBRIDGE |
| State | GA |
| Zip | 30281-7816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chadi Obeid | Nephrology | Southside Kidney Clinics, PC | 3580 Cameron Pkwy, Stockbridge, GA 30281-7816 |
| Mohamad Moussa Kassem | Nephrology | Southside Kidney Clinics, PC | 3580 Cameron Pkwy, Stockbridge, GA 30281-7816 |
| Lawrence E Bryant Jr. | Nurse Practitioner | Southside Kidney Clinics, PC | 3580 Cameron Pkwy, Stockbridge, GA 30281-7816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Asad M Naqvi | Psychiatry | 135 Eagle Walk, Suite 150, Stockbridge, GA 30281 | |
| Earnest Darren Moore | Certified Registered Nurse Anesthetist (crna) | Anesthesia Solutions of Georgia LLC | 165 N Park Trail, Suite 100, Stockbridge, GA 30281 |
| Whatley B Fenlon | Psychologist, Clinical | 120 Martin Luther King Sr Heritage Trail, Suite 109, Stockbridge, GA 30281 | |
| German M Reyes | General Surgery | Gleneagles Surgery PC | 1215 Eagles Landing, Parkway Suite 105, Stockbridge, GA 30281 |
| Amanda L Hess | Chiropractic | 5430 N Henry Blvd, Suite 100, Stockbridge, GA 30281-3220 | |
| Richard D Buchanan | Chiropractic | 5124 N Henry Blvd, Stockbridge, GA 30281-3232 | |
| Porcia D Ewing | Chiropractic | 5459 N Henry Blvd, Suite C, Stockbridge, GA 30281-3265 | |
| Jeremy A Hess | Chiropractic | 5430 N Henry Blvd, Suite 100, Stockbridge, GA 30281-3270 | |
| Durie D Humber | Chiropractic | 165 Burke St, Suite 105, Stockbridge, GA 30281-3464 | |
| Carrie A Oberster | Chiropractic | 5008 N Henry Blvd, Stockbridge, GA 30281-3561 | |
| Find all physicians in zip 30281 | |||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
| Specialty | NEPHROLOGY |
| City + Specialty | STOCKBRIDGE + NEPHROLOGY |
Please comment or provide details below to improve the information on Fahad Khan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.