Provider Demographics
NPI:1083219653
Name:SULTANI, UZMA FAREED (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:UZMA
Middle Name:FAREED
Last Name:SULTANI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:UZMA
Other - Middle Name:KHALID
Other - Last Name:FAREED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:15200 W 91ST TER
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1142
Mailing Address - Country:US
Mailing Address - Phone:913-599-6659
Mailing Address - Fax:
Practice Address - Street 1:1075 W SANTA FE ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-3115
Practice Address - Country:US
Practice Address - Phone:913-764-5858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016038375183500000X
KS1-100588183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty