Individual
DR. FARIHA BATOOL SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
255 ENTERPRISE BLVD STE 101, GREENVILLE, SC 29615-3530
(864) 454-8120
(864) 454-8125
Mailing address
322 QUAIL HUNT RD, SIMPSONVILLE, SC 29680-6590
(864) 982-7365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
P8044
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
40423
SC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
92496
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404235
—
SC
Enumeration date
01/07/2014
Last updated
09/08/2022
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