Provider Demographics
NPI:1497841258
Name:SULTANA, SAYEEDA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAYEEDA
Middle Name:
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 1:5060 ROSEMEAD BLVD
Mailing Address - Street 2:
Mailing Address - City:PICO
Mailing Address - State:CA
Mailing Address - Zip Code:90660
Mailing Address - Country:US
Mailing Address - Phone:562-942-9895
Mailing Address - Fax:562-222-2225
Practice Address - Street 1:5060 ROSEMEAD BLVD
Practice Address - Street 2:
Practice Address - City:PICO
Practice Address - State:CA
Practice Address - Zip Code:90660
Practice Address - Country:US
Practice Address - Phone:562-942-9895
Practice Address - Fax:562-222-2225
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA53436208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A534360Medicaid
CAA53436OtherMEDICAL LICENSE
CA00A534360Medicaid