Provider Demographics
NPI:1356381685
Name:SULTAN, PARVEZ K (MD)
Entity type:Individual
Prefix:DR
First Name:PARVEZ
Middle Name:K
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 1:3056 HEALTHY WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2435
Mailing Address - Country:US
Mailing Address - Phone:205-930-2925
Mailing Address - Fax:
Practice Address - Street 1:3056 HEALTHY WAY STE 100
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-2435
Practice Address - Country:US
Practice Address - Phone:205-930-2925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL24386208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051003873OtherBLUE CROSS - 2660 10TH AV
AL051003875OtherBLUE CROSS - 48 MED PARK
AL009937447Medicaid
AL009937449Medicaid
AL051003872OtherBLUE CROSS - 860 MONT RD
AL009937448Medicaid
AL051557623Medicare PIN
AL009937449Medicaid