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Individual
SULTAN MOHAMMAD
Active
Individual
SULTAN MOHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38055
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311203
—
AZ
01
—
336079063
MEDICAL STATE LICENSE
IL
01
—
38055
MD
AZ
Enumeration date
05/17/2007
Last updated
04/29/2019
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