Mohammad, Sultan

Mohammad, Sultan is an individual health care provider with primary practice located at 1300 S Watson Rd Ste 104, Buckeye AZ 85326-6303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mohammad, Sultan can be contacted via phone (623) 251-3201.

Contact Information

Primary practice address
1300 S Watson Rd Ste 104 Buckeye AZ 85326-6303
Phone: (623) 251-3201
Fax: (623) 251-3205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38055 Arizona

Profile Details

NPI number 1760699888
LBN Legal business name Mohammad, Sultan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Apr 29th, 2019 - about 6 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 1760699888 NPPES
Illinois Other 336079063 MEDICAL STATE LICENSE
Illinois Other 38055 MEDICAL STATE LICENSE
Illinois MEDICAID 311203 MEDICAL STATE LICENSE

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