MEDICARE: AQIB 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	207R00000X	Internal Medicine Physician	200233	LA
2	207R00000X	Internal Medicine Physician	MD200233	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P00743847	OTHER	MS	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P00865240	OTHER	LA	RRMCARE
3	P00996840	OTHER	LA	RAILROAD MCARE
4	P00817315	OTHER	MS	RAILROAD MCARE THRU HCCN
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	P00993210	OTHER	LA	RRMCARE THRU IMC

General Provider Information

NPI Number	:	1841267598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AQIB SULTAN MD

Provider Business Mailing Address
First Line	:	1514 JEFFERSON HWY
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70121-2429
Country	:	US
Telephone Number	:	504-842-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 MEDICAL CENTER DRIVE
Second Line	:
City	:	SLIDELL
State	:	LA
Zip	:	70461-5520
Country	:	US
Telephone Number	:	985-649-7070
Fax Number	:

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

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	04/28/2017

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Directions to “ AQIB SULTAN MD” Practice Location

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