Healthcare Provider Details

I. General information

NPI: 1609851328
Provider Name (Legal Business Name): FAWZIA SULTANY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7974 LAKE UNDERHILL RD
ORLANDO FL
32822-8229
US

IV. Provider business mailing address

13013 ENGLISH TURN DR
SILVER SPRING MD
20904-7300
US

V. Phone/Fax

Practice location:
  • Phone: 321-710-9899
  • Fax:
Mailing address:
  • Phone: 301-847-1189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number32172
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME117770
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: