Sultani, Masoud

Sultani, Masoud is an sole proprietor health care provider with primary practice located at 5501 N 19Th Ave Ste 103 , Phoenix AZ 85015-2451. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Sultani, Masoud can be contacted via phone (602) 589-0500.

Contact Information

Primary practice address
5501 N 19Th Ave Ste 103 Phoenix AZ 85015-2451
Phone: (602) 589-0500
Fax: (602) 314-4552
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 56887 Arizona
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 56887 Arizona

Profile Details

NPI number 1104237478
LBN Legal business name Sultani, Masoud
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2014
Last updated Jul 8th, 2019 - about 5 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 1104237478 NPPES
Arizona MEDICAID 440185

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