Individual
AQIB SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEDICAL CENTER DRIVE, SLIDELL, LA 70461-5520
(985) 649-7070
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200233
LA
207R00000X
Internal Medicine Physician
Primary
MD200233
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00204318
—
MS
05
—
1628573
—
LA
01
—
P00743847
MEDICARE RR
MS
01
—
P00817315
RAILROAD MCARE THRU HCCN
MS
01
—
P00865240
RRMCARE
LA
01
—
P00993210
RRMCARE THRU IMC
LA
01
—
P00996840
RAILROAD MCARE
LA
Enumeration date
03/01/2006
Last updated
04/28/2017
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