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

Dr. Hasan Khosravi, MD

Individual provider Dermatology Physician · NPI 1649790627

Dr. Hasan Khosravi, MD is a Dermatology in Marietta, Georgia. Graduated from Harvard Medical School in 2017, 9 years ago. Practices with North Atlanta Dermatology, a 17-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Georgia and Illinois.

Years since qualifying
9
Trained at
Harvard Medical School
Licensed in
GA, IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1519 Johnson Ferry Rd Ste 175
Marietta, GA 30062-6411
Phone: (770) 814-8222
Fax: (678) 205-5111
Show map & directions

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

Additional practice locations (5)

  • 3331 Hamilton Mill Rd Ste 1106, Buford, GA 30519-7226 — (770) 814-8222
  • 1230 Bald Ridge Marina Rd Ste 300, Cumming, GA 30041-7859 — (770) 814-8222
  • 3850 Pleasant Hill Rd, Duluth, GA 30096-4807 — (770) 814-8222
  • 3370 Paddocks Pkwy, Suwanee, GA 30024-9119 — (770) 814-8222
  • 808 S Wood St Ste 380, Chicago, IL 60612-7300 — (312) 413-7448

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 101902 (GA)
Dermatology Physician Taxonomy 207N00000X · Licence 036.155306 (IL)

Record details

NPI number1649790627
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2017
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing addressPo Box 23329, New York, NY 10087-3329

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2017 (9 years in practice)
Group practice North Atlanta Dermatology — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marietta