MEDICARE: TAMIM A SULTANI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	42349	AZ

General Provider Information

NPI Number	:	1346446317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMIM A SULTANI M.D.

Provider Business Mailing Address
First Line	:	5022 E HELENA DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-0005
Country	:	US
Telephone Number	:	602-769-1307
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 E CAMELBACK RD # 105
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-2718
Country	:	US
Telephone Number	:	480-610-7400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2007
Last Update Date	:	08/21/2025

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