Individual provider · Type 1 NPI

Hadequa Noor Khan, MD

Student in an Organized Health Care Education/Training Program · Douglas, GA

NPI number 1811835192 Active

Practice location

1101 Ocilla Rd
Douglas, GA 31533-2207

Mailing address

157 Glen Eagle Way
Mcdonough, GA 30253-4231

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811835192

Hadequa Noor Khan, MD's National Provider Identifier is 1811835192, issued on Mar 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Douglas, GA. The record was last updated on Mar 24, 2026.