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Individual

SULTAN GHILA MICHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
3115 S PRICE RD, CHANDLER, AZ 85248-3544
(888) 488-7640
Mailing address
2140 W 24TH ST, STE A, YUMA, AZ 85364-6122
(928) 341-4885
(928) 782-1686

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32987
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
868896
AZ
01
AZ0774360
BCBS
AZ
01
P00255649
RAILROAD MEDICARE
AZ
Enumeration date
10/13/2006
Last updated
07/31/2020
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