Ahamed, Sultan

Ahamed, Sultan is an sole proprietor health care provider with primary practice located at 29 Gravel St , Mystic CT 06355-1837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ahamed, Sultan can be contacted via phone (860) 608-5810.

Contact Information

Primary practice address
29 Gravel St Mystic CT 06355-1837
Phone: (860) 608-5810
Fax: (860) 572-3920
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 015920 Connecticut

Profile Details

NPI number 1083722383
LBN Legal business name Ahamed, Sultan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083722383 NPPES
Connecticut Other 010015920CT04 ANTHEM BC BS OF CT
Connecticut Other D418684 ANTHEM BC BS OF CT
Connecticut Other 2V2557 ANTHEM BC BS OF CT

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