Active NPI
Sultana's Medical, LLC
- Internal Medicine Physician
- Buffalo, NY
National Provider Identifier
1932820909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SULTANA'S MEDICAL, LLC
- Practice address
- 2821 Wehrle Dr
Buffalo, NY 14221-7386 - Phone
- (716) 908-6374
- NPI assigned
- Sep 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Syed Haider, PHD
- Title
- Manager
- Phone
- (425) 772-5172
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | |||
| Nuclear Medicine Physician | 207U00000X |
Addresses
Primary practice location
2821 Wehrle Dr
Buffalo, NY 14221-7386
Mailing address
6319 Everwood CT S
East Amherst, NY 14051-2031
Phone (425) 772-5172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04023483 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RAZIASULTANAMDPHD@GMAIL.COM |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Amherst, NY
- NPI 1104026905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666828800000",
"number": "1932820909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6319 EVERWOOD CT S",
"city": "EAST AMHERST",
"state": "NY",
"postal_code": "140512031",
"telephone_number": "425-772-5172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 WEHRLE DR",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142217386",
"telephone_number": "716-908-6374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SULTANA'S MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-08",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A",
"authorized_official_last_name": "HAIDER",
"authorized_official_first_name": "SYED",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "425-772-5172",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04023483",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "RAZIASULTANAMDPHD@GMAIL.COM",
"affiliation": "N",
"address_1": "2821 Wehrle Dr",
"city": "Buffalo",
"state": "NY",
"country_code": "US",
"postal_code": "142217386",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.