Individual
SULTANA JAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 W NIFONG BLVD, COLUMBIA, MO 65203-5615
(573) 884-1130
(573) 884-5936
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2005013752
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201269602
—
MO
Enumeration date
05/19/2006
Last updated
09/02/2022
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