Sultan Pllc. | |
1019 Government St Ste. D Ocean Springs MS 39564-3860 | |
(228) 215-1004 | |
(228) 238-3035 |
Full Name | Sultan Pllc. |
---|---|
Speciality | Internal Medicine |
Location | 1019 Government St, Ocean Springs, Mississippi |
Authorized Official Name and Position | Shahjahan Sultan (PHYSICIAN / REGISTERED AGENT) |
Authorized Official Contact | 2282151004 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sultan Pllc. 1206 Iola Rd Ocean Springs MS 39564-2819 Ph: (228) 215-1004 | Sultan Pllc. 1019 Government St Ste. D Ocean Springs MS 39564-3860 Ph: (228) 215-1004 |
NPI Number | 1710388251 |
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Provider Enumeration Date | 09/15/2014 |
Last Update Date | 09/15/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710388251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 21500 (Mississippi) | Primary |
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