Provider Demographics
NPI:1588787394
Name:KHUMAN, INDERPREET (RPH, PHARMD)
Entity type:Individual
Prefix:DR
First Name:INDERPREET
Middle Name:
Last Name:KHUMAN
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-3623
Mailing Address - Country:US
Mailing Address - Phone:678-297-1089
Mailing Address - Fax:
Practice Address - Street 1:184 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-3623
Practice Address - Country:US
Practice Address - Phone:678-297-1089
Practice Address - Fax:770-777-9851
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA24483183500000X
GARPH024704183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist