Individual
MASOUD SULTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 N 19TH AVE STE 103, PHOENIX, AZ 85015-2451
(602) 589-0500
(602) 314-4552
Mailing address
1019 E IRMA LN, PHOENIX, AZ 85024-4114
(602) 463-0556
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
56887
AZ
208VP0000X
Pain Medicine Physician
56887
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440185
—
AZ
Enumeration date
05/08/2014
Last updated
07/08/2019
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