Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | D0027779 | MD |
NPI | 1730134602 |
---|---|
Provider Name | Dr. Farouk A Sultani |
First Address | Salisbury, MD 21801-5305 |
Second Address | Salisbury, MD 21801-5305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D82732 | (02) | MD |