Individual
SHAMIM SULTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 N WASHINGTON ST, VIBORG, SD 57070-2002
(605) 326-5161
(605) 326-5734
Mailing address
PO BOX 368, VIBORG, SD 57070-0368
(605) 326-5161
(605) 326-5734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-091556
OH
207Q00000X
Family Medicine Physician
4301093506
MI
207Q00000X
Family Medicine Physician
Primary
8499
SD
Other
Enumeration date
06/06/2007
Last updated
07/30/2012
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