Dr Tipu Sultan, MD is a
Allergy & Immunology - Allergy physician based in Florissant, Missouri. Dr Tipu Sultan is licensed to practice in Missouri (license number R7234) and his current practice location is 11585 W Florissant Ave, Florissant, Missouri. He can be reached at his office (for appointments etc.) via phone at
(314) 921-5600.
NPI number for Dr Tipu Sultan is 1629132683 and his current mailing address is 11585 W Florissant Ave, Florissant, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629132683.
Physician's Profile
| Full Name | Dr Tipu Sultan |
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| Gender | Male |
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| Speciality | Allergy & Immunology - Allergy |
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| Location | 11585 W Florissant Ave, Florissant, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629132683
- Provider Enumeration Date: 12/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Tipu Sultan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629132683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207KA0200X | Allergy & Immunology - Allergy | R7234 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tipu Sultan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Tipu Sultan, MD
11585 W Florissant Ave,
Florissant, MO 63033-6740
Ph: (314) 921-5600 | Dr Tipu Sultan, MD
11585 W Florissant Ave,
Florissant, MO 63033-6740
Ph: (314) 921-5600 |
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