Individual
DR. SHAHID SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9981 S. HEALTHPARK DR., SUITE 281, FORT MYERS, FL 33908-3618
(239) 343-6906
(239) 343-6915
Mailing address
9981 S. HEALTHPARK DR., SUITE 281, FORT MYERS, FL 33908-3618
(239) 343-6906
(239) 343-6915
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME 33962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068497000
—
FL
01
—
36381
BLUE CROSS
FL
Enumeration date
01/25/2006
Last updated
09/11/2008
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