Individual
SULTAN MOHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 S WATSON RD, STE 104, BUCKEYE, AZ 85326-6303
(623) 251-3201
(623) 251-3205
Mailing address
3815 E BELL RD STE 2200, PHOENIX, AZ 85032-2139
(602) 633-3838
(602) 633-3845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38055
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311203
—
AZ
01
—
336079063
MEDICAL STATE LICENSE
IL
01
—
38055
MD
AZ
Enumeration date
05/17/2007
Last updated
04/29/2019
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