Sultan Mohiuddin, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

113629 Issued in NY

Legal business name

SULTAN MOHIUDDIN, MD

Practice address

300 E Main St
Smithtown, NY 11787-2900

Phone

(631) 979-0212

Fax

(631) 979-0237

NPI assigned

Nov 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sultan Mohiuddin, MDNPI 1740367242

Title

MD

Phone

(631) 979-0212

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sultan Mohiuddin, M.D

  • Vascular Surgery Physician
  • Smithtown, NY
  • NPI 1740367242
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1275612384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872900",
            "telephone_number": "631-979-0212",
            "fax_number": "631-979-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872900",
            "telephone_number": "631-979-0212",
            "fax_number": "631-979-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULTAN MOHIUDDIN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "MOHIUDDIN",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-979-0212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "113629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Beth Sugarman, LCSW-R, BCD, DCSW
• Jennifer Sullivan
• Joseph C Sullivan III, DC
• Nicole Ashley Sullivan, LCSW
• Sultan Mohiuddin MD PC
• Esther Sumitra-Albert, M.D.
• Julia Sung-Monahan, RPH
• Sunrise Psychology, PLLC
• Sunrise Smithtown Al LLC (Sunrise of Smithtown)
• Sunshine Therapy LCSW PC

• Vascular Surgery Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.