Healthcare Provider Details

I. General information

NPI: 1518521996
Provider Name (Legal Business Name): NAHID SULTANA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2019
Last Update Date: 06/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1044 BELMONT AVE
YOUNGSTOWN OH
44504-1006
US

IV. Provider business mailing address

410 BURNT MILLS AVE
SILVER SPRING MD
20901-4405
US

V. Phone/Fax

Practice location:
  • Phone: 330-480-2994
  • Fax:
Mailing address:
  • Phone: 301-275-8311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number58.031101
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: