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NPI 1720654775

NPI 1720654775 : NADIA SULTAN M.D. : KANSAS CITY, MO

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General NPI Number Information
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    NPI Number           |    1720654775
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    Entity Type          |    Individual 
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    Provider Name        |    NADIA SULTAN M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/01/2021
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    Last Update Date     |    06/20/2024
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Provider Practice Location Address
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    Address Line         |    2301 HOLMES ST., TRUMAN MEDICAL CENTER, DEPT. OF INTERN 
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64108
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    Country              |    US
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    Telephone            |    816-404-4175
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    Fax                  |    816-404-0003
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Provider Business Mailing Address
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    Address Line         |    727 N BEERS ST 
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    City                 |    HOLMDEL
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    State                |    NJ
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    Zip                  |    07733-1514
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    Country              |    US
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    Telephone            |    732-739-5900
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    2021015760
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    MO
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    25MA12223400
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    License Number State |    NJ
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