| Doctor Name: | DR. FAZAL M KHAN |
| NPI Number: | 1003820291 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD-2008-0223 |
| Business Practice Address: | 794 Watermark Dr Evans, GA - 308097486 |
| Business Phone Number: | 7064326312 |
| Business Fax Number: | |
| Mailing Address: | 1 Freedom Way, 1f111 AUGUSTA |
| State: | GA |
| Postal Code: | 309046258 |
| Phone Number: | 7067330188 |
| Fax Number: | 7067317190 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 01/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084B0040X |
| License Number: | MD-2008-0223 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Behavioral Neurology & Neuropsychiatry |
| Taxonomy Definition: | Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |