| Aqib Sultan MD LLC | |
|
100 Medical Center Dr Ochsner Med Ctr - Northshore Slidell LA 70461-5520 | |
| (985) 649-7070 | |
| (405) 341-9217 |
| Full Name | Aqib Sultan MD LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Medical Center Dr, Slidell, Louisiana |
| Authorized Official Name and Position | Aqib Sultan (OWNER / DIRECTOR) |
| Authorized Official Contact | 9856497070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aqib Sultan MD LLC Po Box 960428 Oklahoma City OK 73196-0001 Ph: (985) 649-7070 | Aqib Sultan MD LLC 100 Medical Center Dr Ochsner Med Ctr - Northshore Slidell LA 70461-5520 Ph: (985) 649-7070 |
| NPI Number | 1710269824 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 03/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710269824 | NPI | - | NPPES |
| 04388245 | Medicaid | MS | |
| 2168754 | Medicaid | LA | |
| DS1176 | Other | LA | RAILROAD MCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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