Organization
AQIB SULTAN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AQIB SULTAN MD (OWNER / DIRECTOR)
(985) 649-7070
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER DR, OCHSNER MED CTR - NORTHSHORE, SLIDELL, LA 70461-5520
(985) 649-7070
(405) 341-9217
Mailing address
PO BOX 960428, OKLAHOMA CITY, OK 73196-0001
(985) 649-7070
(405) 341-9217
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04388245
—
MS
05
—
2168754
—
LA
01
—
DS1176
RAILROAD MCARE
LA
Enumeration date
09/14/2011
Last updated
03/02/2012
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