Individual
DR. TIPU SULTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11585 W FLORISSANT AVE, FLORISSANT, MO 63033-6740
(314) 921-5600
(314) 921-8273
Mailing address
11585 W FLORISSANT AVE, FLORISSANT, MO 63033-6740
(314) 921-5600
(314) 921-8273
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
R7234
MO
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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