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Organization

SULTANA FAIYAZ CORPORATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RASHID FAIYAZ M.D. (OWNER)
(937) 344-9061
Entity
Organization

Contact information

Practice address
4001 DUTCHMANS LN, LOUISVILLE, KY 40207-4714
(502) 893-1000
(502) 412-9817
Mailing address
PO BOX 221515, LOUISVILLE, KY 40252-1515
(937) 344-9061
(502) 412-9817

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
12/05/2012
Last updated
12/05/2012
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