NPI age
19 years
Enumerated 2006-11-14
● Active
Type 1 · Individual
DR. Ayesha Khan, M.D.
Khan is 1 of 159 internal medicine providers in Marietta and 1 of 5027 in Georgia.
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5027 active internal medicine providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
333 Midway Rd Nw
Marietta, GA 300645630
Mailing address
1587 Petal Pt Nw
Kennesaw, GA 301527773
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
-
General PracticeA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 471357534E | |
| 05 (GA) | 471357534D | |
| 01 (NC) | 2016-00151 | NORTH CAROLINA MEDICAL BOARD LICENSE |
| 01 (GA) | 1609816123 | GEORGIA CLINIC PC GROUP NPI # |
| 05 (GA) | 471357534F |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new internal medicine provider has been added in Marietta in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.