Individual
DR. GHOUSIA SULTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12107 HERITAGE PARK CIR, SILVER SPRING, MD 20906-4555
(301) 949-7000
(301) 949-7029
Mailing address
12107 HERITAGE PARK CIR, SILVER SPRING, MD 20906-4555
(301) 949-7000
(301) 949-7029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D56691
MD
207RH0000X
Hematology (Internal Medicine) Physician
D56691
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699564100
—
MD
Enumeration date
05/22/2006
Last updated
09/23/2024
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