MEDICARE: DR. PARVEZ K SULTAN MD

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	24386	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	051003873	OTHER	AL	BLUE CROSS - 2660 10TH AV
2	051003875	OTHER	AL	BLUE CROSS - 48 MED PARK
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	051003872	OTHER	AL	BLUE CROSS - 860 MONT RD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356381685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PARVEZ K SULTAN MD

Provider Business Mailing Address
First Line	:	3056 HEALTHY WAY STE 100
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35243-2435
Country	:	US
Telephone Number	:	205-930-2925
Fax Number	:

Provider Business Practice Location Address
First Line	:	3056 HEALTHY WAY STE 100
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35243-2435
Country	:	US
Telephone Number	:	205-930-2925
Fax Number	:

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	01/13/2023

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