LAITH AL KHRAISAT MD
NPI 1407795040
Student in an Organized Health Care Education/Training Program in Dalton, GA

Active since March 27, 2026
1432 BROADRICK DR, DALTON, GA 30720(706) 226-8990(706) 529-5317 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laith Al Khraisat Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAITH AL KHRAISAT MD (NPI 1407795040) is an individual student in an organized health care education/training program in Dalton, Georgia and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1407795040
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLAITH AL KHRAISATCredential: MD
Location Address1432 BROADRICK DRDalton, GA 30720-3009
Mailing Address1200 Memorial DrDalton, GA 30720-2529
Fax(706) 529-5317
Sole ProprietorNo
Enumeration DateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
NPI 1407795040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
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.
1432 BROADRICK DR, Dalton, GA 30720

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1432 BROADRICK DR
DALTON, GA 30720
Internal Medicine
1432 BROADRICK DR
DALTON, GA 30720
Internal Medicine
1432 BROADRICK DR
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DR
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DR
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DR
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DR
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DR
DALTON, GA 30720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laith Al Khraisat's NPI number?

The NPI number for Laith Al Khraisat is 1407795040. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Where is Laith Al Khraisat located?

Laith Al Khraisat practices at 1432 Broadrick Dr, Dalton, GA 30720. The listed phone number is (706) 226-8990.

What is Laith Al Khraisat's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Laith Al Khraisat was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.