| Shazia Khan, MD | |
|
1425 Highway 34 E, Newnan, GA 30265-1323 | |
| (770) 304-3724 | |
| (770) 304-3726 |
| Full Name | Shazia Khan |
|---|---|
| Gender | Female |
| Speciality | Nephrology |
| Experience | 38 Years |
| Location | 1425 Highway 34 E, Newnan, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164526323 | NPI | - | NPPES |
| 39BDCFQ | Other | GA | CARRIER PROVIDER NUMBER |
| GRP4757 | Other | GA | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 048905 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Newnan Dialysis Services | Newnan, GA | Dialysis facility |
| Rai-hwy-fayetteville | Fayetteville, GA | Dialysis facility |
| Palmetto Dialysis Clinic | Palmetto, GA | Dialysis facility |
| Dialysis Care Center Newnan Home | Newnan, GA | Dialysis facility |
| Poplar Dialysis | Newnan, GA | Dialysis facility |
| Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Southeastern Regional Medical Center, Inc | Newnan, GA | Hospital |
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Rehabilitation Hospital Of Newnan | Newnan, GA | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nephrology, Inc. | 4082715750 | 6 |
| City Of Hope Medical Group Of Georgia Llc | 4880841212 | 137 |
| Entity Name | Nephrology, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083803472 PECOS PAC ID: 4082715750 Enrollment ID: O20110627000406 |
| Entity Name | City of Hope Medical Group of Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Shazia Khan, MD 1425 Highway 34 E, Newnan, GA 30265-1323 Ph: (770) 304-3724 | Shazia Khan, MD 1425 Highway 34 E, Newnan, GA 30265-1323 Ph: (770) 304-3724 |
Audrey Fonkam, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 770-400-2353 |
Mrs. Linda C Cunanan, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 109 Bullsboro Dr, Newnan, GA 30263 Phone: 770-251-4140 Fax: 770-251-7275 |
Dr. Ashish Dhungel, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1425 Highway 34 E, Newnan, GA 30265 Phone: 770-304-3724 |
Nitika Sharma, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-6000 |
James M. Smith, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2401 Newnan Crossing Blvd E, Suite 200, Newnan, GA 30265 Phone: 770-400-7700 |
Ayesha Afsar Faruqi, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2401 Newnan Crossing Blvd E, Suite 200, Newnan, GA 30265 Phone: 770-400-7700 |
Dr. Samer Bedi Blackmon, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1825 Highway 34 E, St. 3000, Newnan, GA 30265 Phone: 770-252-6767 Fax: 404-564-5902 |