Provider Demographics
NPI:1477001493
Name:SULTANI, NAHIDA
Entity Type:Individual
Prefix:
First Name:NAHIDA
Middle Name:
Last Name:SULTANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7306 BONNIEMILL LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-4439
Mailing Address - Country:US
Mailing Address - Phone:484-929-3994
Mailing Address - Fax:
Practice Address - Street 1:7306 BONNIEMILL LN
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-4439
Practice Address - Country:US
Practice Address - Phone:484-929-3994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-19
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-251657251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health