# AQIB SULTAN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710269824
- **Authorized official:** DR. AQIB SULTAN MD (OWNER / DIRECTOR)
- **Authorized official phone:** (985) 649-7070

## Contact information

- **Practice address:** 100 MEDICAL CENTER DR, OCHSNER MED CTR - NORTHSHORE, SLIDELL, LA 70461-5520
- **Practice address phone:** (985) 649-7070
- **Practice address fax:** (405) 341-9217
- **Mailing address:** PO BOX 960428, OKLAHOMA CITY, OK 73196-0001
- **Mailing address phone:** (985) 649-7070
- **Mailing address fax:** (405) 341-9217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2011
- **Last updated:** 03/02/2012