Organization
SHIFA PEDIATRIC CLINIC,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYESHA SULTANA (PHYSICIAN)
(919) 337-7350
Entity
Organization
Contact information
Practice address
1001 W WILLIAMS ST STE 102, APEX, NC 27502-3978
(919) 300-7726
(919) 300-7688
Mailing address
5509 SOUTHERN CROSS AVE, RALEIGH, NC 27606-4015
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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