Organization
SULTAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHA SULTAN M.D. (OWNER)
(580) 335-7878
Entity
Organization
Contact information
Practice address
319 E JOSEPHINE AVE, FREDERICK, OK 73542-2220
(580) 335-7878
(580) 335-7086
Mailing address
PO BOX 177, 319 EAST JOSEPHINE, FREDERICK, OK 73542-0177
(580) 335-7878
(580) 335-7086
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18737
OK
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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