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

Noor Khan

Individual provider Physician Assistant · NPI 1205628864

Noor Khan is a Physician Assistant in Lawrenceville, Georgia. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

771 Old Norcross Rd Ste 200
Lawrenceville, GA 30046-4980
Phone: (770) 339-1387
Fax: (770) 962-7868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 13322 (GA)

Record details

NPI number1205628864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 20, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025
Mailing address420 E 70th St Apt 9d3, New York, NY 10021-5354

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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