Provider Demographics
NPI:1710159488
Name:KHAN, MADIHA IQBAL (MD)
Entity Type:Individual
Prefix:DR
First Name:MADIHA
Middle Name:IQBAL
Last Name:KHAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:15 REINHARDT COLLEGE PKWY
Mailing Address - Street 2:SUITE 109
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114
Mailing Address - Country:US
Mailing Address - Phone:770-213-2520
Mailing Address - Fax:770-213-2524
Practice Address - Street 1:15 REINHARDT COLLEGE PKWY
Practice Address - Street 2:SUITE 109
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114
Practice Address - Country:US
Practice Address - Phone:770-213-2520
Practice Address - Fax:770-213-2524
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2019-12-18
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Provider Licenses
StateLicense IDTaxonomies
TXBP10040924207RE0101X
GA079730207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism