Individual
SHAHJAHAN SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1019 GOVERNMENT ST STE D, OCEAN SPRINGS, MS 39564-3862
(228) 215-1004
(228) 238-3035
Mailing address
1206 IOLA RD, OCEAN SPRINGS, MS 39564-2819
(228) 215-1004
(228) 238-3035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21500
MS
207R00000X
Internal Medicine Physician
MT192586
PA
Other
Enumeration date
07/02/2008
Last updated
09/15/2014
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