Individual
TARIQ SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7500 STATE RD, CINCINNATI, OH 45255-2439
(513) 624-4500
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35072023
OH
208M00000X
Hospitalist Physician
Primary
35072023
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000352231
BCBS
OH
05
—
2020995
—
OH
01
—
P00193989
RAIL ROAD MEDICARE
—
Enumeration date
05/28/2006
Last updated
06/01/2017
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