Ahamed, Sultan
Ahamed, Sultan is an sole proprietor health care provider with primary practice located at 29 Gravel St , Mystic CT 06355-1837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ahamed, Sultan can be contacted via phone (860) 608-5810.Contact Information
Primary practice address
29 Gravel St
Mystic CT 06355-1837
Phone: (860) 608-5810
Fax: (860) 572-3920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 015920 | Connecticut |
Profile Details
| NPI number | 1083722383 |
|---|---|
| LBN Legal business name | Ahamed, Sultan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083722383 | NPPES |
| Connecticut | Other | 010015920CT04 | ANTHEM BC BS OF CT |
| Connecticut | Other | D418684 | ANTHEM BC BS OF CT |
| Connecticut | Other | 2V2557 | ANTHEM BC BS OF CT |
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