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Organization
HAJERA SULTANA MD., INC
Active
Organization
HAJERA SULTANA MD., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAJERA SULTANA M.D. (PRESIDENT)
(951) 283-4725
Entity
Organization
Contact information
Practice address
3838 SHERMAN DR, STE 12, RIVERSIDE, CA 92503-4001
(951) 351-9994
(951) 351-2394
Mailing address
3838 SHERMAN DR, STE 12, RIVERSIDE, CA 92503-4001
(951) 351-9994
(951) 351-2394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A78589
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063537306
INDIVIDUAL NPI NUMBER
CA
05
—
OOA785890
—
CA
Enumeration date
11/04/2007
Last updated
11/04/2007
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