Healthcare Provider Details

I. General information

NPI: 1346446317
Provider Name (Legal Business Name): TAMIM A SULTANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 E CAMELBACK RD # 105
PHOENIX AZ
85018-2718
US

IV. Provider business mailing address

5022 E HELENA DR
SCOTTSDALE AZ
85254-0005
US

V. Phone/Fax

Practice location:
  • Phone: 480-610-7400
  • Fax:
Mailing address:
  • Phone: 602-769-1307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number42349
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: