P Praxis·MD
● Active Type 1 · Individual

Niraj Khandelwal, MD, MHS

Internal Medicine·Fayetteville, GA· NPI 1619186228 · Enumerated 2007 · 19 years on NPI
Khandelwal is 1 of 7 internal medicine providers in Fayetteville and 1 of 643 in Georgia.
NPI age
19 years
Enumerated 2007-05-21
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
GA, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2012-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 643 active internal medicine providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
1265 Highway 54 W, Suite 402
Fayetteville, GA 302144548
📞 7707193240fax 7707193241
Mailing address
95 Collier Rd Nw, Suite 4075
Atlanta, GA 303091796
📞 4043553200fax 4043559316

Specialties

  • Internal Medicine Primary
    An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and...
    GA license #67781OH license #57.017193 taxonomy 207RG0100X
  • 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.
    taxonomy 390200000X

Identifiers

TypeValueNotes
01 BP1-0022713 INSTITUTIONAL PERMIT
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 38 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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