Individual
SHAHNAZ SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
(352) 392-3618
Mailing address
720 WASHINGTON AVE SE STE 200, MINNEAPOLIS, MN 55414-2924
(612) 884-0331
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
200200812
NC
207RG0100X
Gastroenterology Physician
Primary
66414
MN
207RG0100X
Gastroenterology Physician
ME98007
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277861100
—
FL
Enumeration date
10/23/2006
Last updated
10/24/2019
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