Organization
SULTAN PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHJAHAN SULTAN M.D. (PHYSICIAN / REGISTERED AGENT)
(228) 215-1004
Entity
Organization
Contact information
Practice address
1019 GOVERNMENT ST, STE. D, OCEAN SPRINGS, MS 39564-3860
(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
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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