Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 35-122953 | OH |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301088601 | MI |
NPI | 1013121755 |
---|---|
Provider Name | Dr. Sultan Zaidan |
First Address | Cleveland, OH 44130-3304 |
Second Address | Cleveland, OH 44130-3304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 19/01/2021 |