| Sandra J Sultan, MD | |
|
2700 152nd Ave Ne, Redmond, WA 98052-5543 | |
| (425) 883-5151 | |
| (425) 883-5781 |
| Full Name | Sandra J Sultan |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 2700 152nd Ave Ne, Redmond, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811041718 | NPI | - | NPPES |
| 8429201 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD00017071 (Washington) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra J Sultan, MD Po Box 34581, Seattle, WA 98124-1581 Ph: (509) 241-7349 | Sandra J Sultan, MD 2700 152nd Ave Ne, Redmond, WA 98052-5543 Ph: (425) 883-5151 |
Susan B Storck, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2700 152nd Ave Ne, Redmond, WA 98052 Phone: 425-883-5151 Fax: 425-883-5781 | |
Dr. Roberta Haynes De Regt, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10930 250th Ave Ne, Redmond, WA 98053 Phone: 206-618-2602 | |
John H. Fure, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2700 152nd Ave Ne, Redmond, WA 98052 Phone: 425-883-5577 Fax: 425-883-5781 |