Provider Demographics
NPI:1245508894
Name:SULTAN, ZIA FAZIL (MS PRC)
Entity type:Individual
Prefix:MR
First Name:ZIA
Middle Name:FAZIL
Last Name:SULTAN
Suffix:
Gender:M
Credentials:MS PRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N WHITFIELD ST
Mailing Address - Street 2:SUITE 770
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3039
Mailing Address - Country:US
Mailing Address - Phone:412-361-1083
Mailing Address - Fax:
Practice Address - Street 1:211 N WHITFIELD ST
Practice Address - Street 2:SUITE 770
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3039
Practice Address - Country:US
Practice Address - Phone:412-361-1083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-11
Last Update Date:2011-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)