Sultan LLC

General Practice Physician · Frederick, OK

Organization Active NPI

NPI number 1366676595

Practice location

319 E Josephine Ave
Frederick, OK 73542-2220
Phone
(580) 335-7878
Fax
(580) 335-7086

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NPI record

NPI
1366676595
Entity type
Organization (Type 2)
Enumeration date
May 1, 2009
Last updated
May 1, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 18737 OK

Mailing address

PO Box 177
319 East Josephine
Frederick, OK 73542-0177
Phone
(580) 335-7878
Fax
(580) 335-7086

Authorized official

Name
Dr. Maha Sultan, M.D.
Title
Owner
Phone
(580) 335-7878

About Sultan LLC

Sultan LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 319 E Josephine Ave, Frederick, OK 73542-2220. The NPI number 1366676595 was assigned on May 1, 2009 and the record was last updated on May 1, 2009.

Sultan LLC lists a license in the registry: #18737 (OK) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Maha Sultan, M.D., Owner.

Frequently asked questions

What is the NPI number of Sultan LLC?

The NPI number is 1366676595.

What is the phone number of Sultan LLC?

The phone number listed for the practice location is (580) 335-7878.

Where is Sultan LLC located?

319 E Josephine Ave, Frederick, OK 73542-2220.

What is the taxonomy code for Sultan LLC?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.