| Mtanius A Sultani, MD | |
|
581 Medical Dr, Clarksdale, MS 38614 | |
| (662) 627-7163 | |
| (662) 627-7150 |
| Full Name | Mtanius A Sultani |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 41 Years |
| Location | 581 Medical Dr, Clarksdale, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972577930 | NPI | - | NPPES |
| 00117894 | Medicaid | MS | |
| 135110001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 15212 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Delta Regional Medical Center | Greenville, MS | Hospital |
| Northwest Mississippi Medical Center | Clarksdale, MS | Hospital |
| Bolivar Medical Center | Cleveland, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Delta Health System | 0042208787 | 2 |
| Entity Name | Delta Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790701134 PECOS PAC ID: 6608775531 Enrollment ID: O20040108000636 |
| Entity Name | Delta Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083764542 PECOS PAC ID: 0042208787 Enrollment ID: O20040503000961 |
| Mailing Address | Practice Location Address |
|---|---|
| Mtanius A Sultani, MD Po Box 1887, Clarksdale, MS 38614 Ph: (662) 627-7163 | Mtanius A Sultani, MD 581 Medical Dr, Clarksdale, MS 38614 Ph: (662) 627-7163 |
Gowdhami Mohan, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 785 Ohio Ave Ste 3e, Clarksdale, MS 38614 Phone: 662-351-0702 Fax: 662-351-0703 | |
Dr. Aman U Munir, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 785 Ohio Ave, Ste 2h, Clarksdale, MS 38614 Phone: 662-627-3003 Fax: 662-627-3095 | |
Dr. Kenneth W Kellough, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 705 N State St, Clarksdale, MS 38614 Phone: 662-621-2192 Fax: 662-621-2314 | |
Dr. Nikki Nikkia Cager, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 785 Ohio Ave Ste 2d, Clarksdale, MS 38614 Phone: 662-627-2509 Fax: 662-627-2420 | |
Vikram Reddy Beemidi, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 785 Ohio Ave, Suite 2h, Clarksdale, MS 38614 Phone: 662-627-3003 Fax: 662-627-3014 |