P Praxis·MD
● Active Type 1 · Individual

DR. Hasan Khosravi, MD

Dermatology·Marietta, GA· NPI 1649790627 · Enumerated 2017 · 8 years on NPI
Khosravi is 1 of 30 dermatology providers in Marietta and 1 of 483 in Georgia.
NPI age
8 years
Enumerated 2017-06-21
Primary specialty
Dermatology
Plus 1 subspecialty
Licensed in
GA, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
8 years
↓ 10 yr below median (18 yr)
State licenses
2 states
Top 87% — 13% of peers are multi-state
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-06Enumerated in NPPES
2017 2026

Where they practice

Practice location
1519 Johnson Ferry Rd Ste 175
Marietta, GA 300626411
📞 7708148222fax 6782055111
Mailing address
Po Box 23329
New York, NY 100873329

Additional practice locations

5 secondary locations on file with NPPES.

Location 2
3850 Pleasant Hill Rd
Duluth, GA 300964807
📞 7708148222fax 6782055111
Location 3
3370 Paddocks Pkwy
Suwanee, GA 300249119
📞 7708148222fax 6782055111
Location 4
3331 Hamilton Mill Rd Ste 1106
Buford, GA 305197226
📞 7708148222fax 6782055111
Location 5
808 S Wood St Ste 380
Chicago, IL 606127300
📞 3124137448
Location 6
1230 Bald Ridge Marina Rd Ste 300
Cumming, GA 300417859
📞 7708148222fax 6782055111

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #101902IL license #036.155306 taxonomy 207N00000X

Practice context

Solo or small practice. No 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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