Provider Demographics
NPI:1629450127
Name:CHHINA, SULTAN SINGH (MD)
Entity Type:Individual
Prefix:
First Name:SULTAN
Middle Name:SINGH
Last Name:CHHINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 CLUB MANOR DR STE 2B
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-7401
Mailing Address - Country:US
Mailing Address - Phone:501-851-7400
Mailing Address - Fax:501-851-4753
Practice Address - Street 1:1701 CLUB MANOR DR STE 2B
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113
Practice Address - Country:US
Practice Address - Phone:501-851-7400
Practice Address - Fax:501-851-4753
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-22
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125066149207R00000X
ARE-11589207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine