Individual
DR. SULTAN MOHIUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
300 E MAIN ST, SMITHTOWN, NY 11787-2900
(631) 979-0212
(631) 979-0237
Mailing address
300 E MAIN ST, SMITHTOWN, NY 11787-2900
(631) 979-0212
(631) 979-0237
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
113629
NY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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