Mohammad Khan

M.D. | Pediatric Cardiology | Male

---

Complete Profile:

Mohammad Khan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Cardiology
Provider Name :	Mohammad Khan
Credential :	M.D.
Gender :	Male
Sole Proprietor :	Yes

Business Address:

Mohammad Khan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1180 Ernest W Barrett Pkwy Nw Ste 102a Kennesaw, GA, 30144-4534 United States
Phone Number :	470-956-9171
Fax Number :	770-794-6652

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1700249018
NPI Entity Type :	Individual
First Enrolment Date :	04 Apr, 2016
Last Updated On :	14 Nov, 2022

Medicare Participation:

Mohammad Khan participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4789910522
Medicare Enrollment ID :	I20220808003212
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2016
Accepts Medicare?	Yes. Mohammad Khan accepts medicare insurance.

Group Practice Association:

Mohammad Khan is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mohammad Khan is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Wellstar Medical Group, Llc	6709065402	1743	4581 S Cobb Se Dr Suite 100 Smyrna, GA - 300806906 Ph: 7708015000	Yes
Wellstar Medical Group, Llc	6709065402	1743	5150 Stilesboro N W Rd Suite 220 Kennesaw, GA - 301527742 Ph: 7704248222	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mohammad Khan are as mentioned. Primary taxonomy code for Mohammad Khan, M.D. is 2080P0202X (Pediatrics, Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics, Pediatric Cardiology	Yes	91770	GA

Other Practice Locations:

Practice Address	City, State	Phone Number
4581 S COBB DR SE STE 100, SMYRNA, GA, 30080-6906 United States	SMYRNA, GA	470-956-9171

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1180 Ernest W Barrett Pkwy Nw Ste 102a Kennesaw, GA, 30144-4534 United States
Phone Number :	470-956-9171
Fax Number :	770-794-6652

Business Location:

Patients can refer following map for directions to Mohammad Khan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.