Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Fazal M Khan, MD

Individual provider Addiction Medicine (Preventive Medicine) Physician · NPI 1003820291

Dr. Fazal M Khan, MD is an Addiction Medicine (Preventive Medicine) Physician in Gainesville, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia and New Mexico.

Licensed in
GA, NM
In the registry since
2006
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

200 Wisteria Dr
Gainesville, GA 30501-3827
Phone: (770) 219-5407
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 794 Watermark Dr, Evans, GA 30809-7486 — (706) 432-6312

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 76623 (GA)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence 76623 (GA)
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X · Licence MD-2008-0223 (NM)
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X · Licence 76623 (GA)
Brain Injury Medicine (Psychiatry & Neurology) Physician Taxonomy 2084P0301X · Licence 76623 (GA)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD-2008-0223 (NM)
Geriatric Psychiatry Physician Taxonomy 2084P0805X · Licence 76623 (GA)

Record details

NPI number1003820291
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 27, 2006
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021