MEDICARE: SULTAN S AHMED 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	207Q00000X	Family Medicine Physician	ME90913	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	32644	OTHER	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730129222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SULTAN S AHMED MD

Provider Business Mailing Address
First Line	:	6151 MIRAMAR PKWY
Second Line	:	SUTIE 104
City	:	MIRAMAR
State	:	FL
Zip	:	33023-3970
Country	:	US
Telephone Number	:	954-965-6001
Fax Number	:	954-965-6009

Provider Business Practice Location Address
First Line	:	6151 MIRAMAR PKWY
Second Line	:	SUTIE 104
City	:	MIRAMAR
State	:	FL
Zip	:	33023-3970
Country	:	US
Telephone Number	:	954-965-6001
Fax Number	:	954-965-6009

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	10/03/2011

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Directions to “ SULTAN S AHMED MD” Practice Location

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