| Intisab Sultan,a Medical Professional Corporation Of California | |
|
2256 Dockery Ave Ste A Selma CA 93662-3806 | |
| (559) 891-0100 | |
| (559) 891-9000 |
| Full Name | Intisab Sultan,a Medical Professional Corporation Of California |
|---|---|
| Speciality | Internal Medicine |
| Location | 2256 Dockery Ave Ste A, Selma, California |
| Authorized Official Name and Position | Intisab Sultan (DIRECTOR) |
| Authorized Official Contact | 5598910100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intisab Sultan,a Medical Professional Corporation Of California 2256 Dockery Ave Ste A Selma CA 93662-3806 Ph: (559) 891-0100 | Intisab Sultan,a Medical Professional Corporation Of California 2256 Dockery Ave Ste A Selma CA 93662-3806 Ph: (559) 891-0100 |
| NPI Number | 1114169380 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 04/23/2022 |
| Medicare PECOS PAC ID | 7416004981 |
|---|---|
| Medicare Enrollment ID | O20090421000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114169380 | NPI | - | NPPES |
| 000A769620 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A76962 (California) | Primary |
| Provider Name | Intisab Sultan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548362296 PECOS PAC ID: 8628125192 Enrollment ID: I20090421000166 |
Ltb Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2141 High St, Selma, CA 93662 Phone: 559-891-2611 Fax: 559-891-3118 | |
Sierra View Family Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1237 Rose Ave, Selma, CA 93662 Phone: 559-898-0935 Fax: 559-898-0939 | |
Selma Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2057 High St, Selma, CA 93662 Phone: 559-891-9100 Fax: 559-891-7827 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Rose Ave, Selma, CA 93662 Phone: 559-583-4694 | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2705 S Highland Ave, Selma, CA 93662 Phone: 559-891-9003 Fax: 559-891-9005 | |
Selma Rural Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2057 High St, Selma, CA 93662 Phone: 559-891-9100 Fax: 559-891-7827 |