Healthcare Provider Details

I. General information

NPI: 1427986694
Provider Name (Legal Business Name): SULTAN ALLERGY & IMMUNOLOGY, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81709 DR CARREON BLVD STE C4
INDIO CA
92201-5577
US

IV. Provider business mailing address

81709 DR CARREON BLVD STE C4
INDIO CA
92201-5577
US

V. Phone/Fax

Practice location:
  • Phone: 760-650-1969
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: SULTAN MAJID
Title or Position: PRESIDENT
Credential: DO
Phone: 760-285-8993