Organization Active NPI

Sultan LLC

  • General Practice Physician
  • Frederick, OK
National Provider Identifier
1366676595
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18737 Issued in OK
Legal business name
SULTAN LLC
Practice address
319 E Josephine Ave
Frederick, OK 73542-2220
Phone
(580) 335-7878
Fax
(580) 335-7086
NPI assigned
May 1, 2009
Last updated
May 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Dr. Maha Sultan, M.D.
Title
Owner
Phone
(580) 335-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18737 OK Primary

Addresses

Primary practice location

319 E Josephine Ave
Frederick, OK 73542-2220

Mailing address

PO Box 177
319 East Josephine
Frederick, OK 73542-0177
Phone (580) 335-7878

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1366676595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "address_2": "319 EAST JOSEPHINE",
            "city": "FREDERICK",
            "state": "OK",
            "postal_code": "735420177",
            "telephone_number": "580-335-7878",
            "fax_number": "580-335-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E JOSEPHINE AVE",
            "city": "FREDERICK",
            "state": "OK",
            "postal_code": "735422220",
            "telephone_number": "580-335-7878",
            "fax_number": "580-335-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULTAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "SULTAN",
        "authorized_official_first_name": "MAHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-335-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "18737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.