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DR. SULTAN AHAMED M.D.

>> Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1083722383

Individual Registrant:
DR. SULTAN  AHAMED M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
29 GRAVEL ST  MYSTIC, CT 06355-1837 US
Tel: 860-608-5810  Fax: 860-572-3920

Contact information for business:
29 GRAVEL ST  MYSTIC, CT 06355-1837 US
Tel: 860-608-5810  Fax: 860-572-3920

Registration Information:
NPI: 1083722383
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208600000XAllopathic & Osteopathic Physicians
Surgery
CT015920

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
OXFORD HEALTH PLANSD418684CT01
ANTHEM BC BS OF CT010015920CT04CT01
HEALTHNET2V2557CT01




HEALTH CARE JOBS CT - Page 1



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