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

Individual provider Emergency Medicine Physician · NPI 1356481261

Dr. Imtiaz Ahmad Khan, MD is an Emergency Medicine in Lawrenceville, Georgia. Graduated from Southern Illinois University School of Medicine in 1990, 36 years ago. Practices with Northside Urgent Care Holding LLC, a 80-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
36
Trained at
Southern Illinois University School of Medicine
Licensed in
GA
In the registry since
2007
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

1000 Medical Center Blvd
Lawrenceville, GA 30045-7694
Phone: (678) 442-3317
Fax: (678) 442-4416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 035077 (GA)

Record details

NPI number1356481261
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 8, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Northside Urgent Care Holding Llc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Lawrenceville