Provider Demographics
NPI:1669852331
Name:AESTHETICS INTERNATIONAL USA LLC
Entity Type:Organization
Organization Name:AESTHETICS INTERNATIONAL USA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUSAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-805-2821
Mailing Address - Street 1:11975 MORRIS RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4419
Mailing Address - Country:US
Mailing Address - Phone:678-691-0880
Mailing Address - Fax:770-733-1511
Practice Address - Street 1:11975 MORRIS RD
Practice Address - Street 2:SUITE 220
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4419
Practice Address - Country:US
Practice Address - Phone:678-691-0880
Practice Address - Fax:770-733-1511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA51423204E00000X, 208200000X
GA55763207QB0002X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Multi-Specialty
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty