Provider Demographics
NPI:1942360086
Name:SULTAN, KHALID M (MD)
Entity Type:Individual
Prefix:DR
First Name:KHALID
Middle Name:M
Last Name:SULTAN
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 1:1016 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0132
Mailing Address - Country:US
Mailing Address - Phone:212-734-5555
Mailing Address - Fax:212-734-6059
Practice Address - Street 1:1016 5TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0132
Practice Address - Country:US
Practice Address - Phone:212-734-5555
Practice Address - Fax:212-734-6059
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179976207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology