Provider Demographics
NPI:1255192456
Name:SULTANI, FROZAN
Entity type:Individual
Prefix:MRS
First Name:FROZAN
Middle Name:
Last Name:SULTANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NONE
Other - Middle Name:NONE
Other - Last Name:NONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:475 JAMACHA RD APT 13
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-2437
Mailing Address - Country:US
Mailing Address - Phone:346-332-6269
Mailing Address - Fax:
Practice Address - Street 1:475 JAMACHA RD APT 13
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92019-2437
Practice Address - Country:US
Practice Address - Phone:346-332-6269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor