Individual
SHAIKH SULTAN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 GREENTREE TERRACE, TENAFLY, NJ 07670
(291) 568-4604
Mailing address
40 GREENTREE TERRACE, TENAFLY, NJ 07670
(291) 568-4604
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA02582100
NJ
207T00000X
Neurological Surgery Physician
Primary
25MA02582100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3914801
—
NJ
Enumeration date
07/12/2006
Last updated
07/31/2019
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