Provider Demographics
NPI:1164553467
Name:SULTANA, SYEDA N (MD)
Entity Type:Individual
Prefix:
First Name:SYEDA
Middle Name:N
Last Name:SULTANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6068 S APOPKA VINELAND RD
Mailing Address - Street 2:SUITE#3
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-4449
Mailing Address - Country:US
Mailing Address - Phone:407-903-9696
Mailing Address - Fax:407-903-9698
Practice Address - Street 1:6068 S APOPKA VINELAND RD
Practice Address - Street 2:SUITE # 3
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-4449
Practice Address - Country:US
Practice Address - Phone:407-903-9696
Practice Address - Fax:407-903-9698
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME922932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry