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Contact Information

MTANIUS A SULTANI, MD
581 MEDICAL DR
CLARKSDALE, MS38614
 Phone: 662-627-7163
 Fax: 662-627-7150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MTANIUS A SULTANI · (Male)

NPI Number 1972577930
Status Active
Credentials MD
Entity Individual
Enumeration date 02/15/2006
Last updated 05/05/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 15212
  • AR Medicaid 135110001
  • MS Medicaid 00117894
Hospital affiliation(s)
  • BOLIVAR MEDICAL CENTER - (Acute Care)
    901 E SUNFLOWER RD
    CLEVELAND, MS 38732
  • DELTA REGIONAL MEDICAL CENTER - (Acute Care)
    1400 E UNION ST
    GREENVILLE, MS 38704
  • HELENA REGIONAL MEDICAL CENTER - (Acute Care)
    1801 MARTIN LUTHER KING DRIVE
    HELENA, AR 72342
  • NORTH SUNFLOWER MEDICAL CENTER CAH - (Critical Access)
    840 NORTH OAK AVENUE
    RULEVILLE, MS 38771
  • NORTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER - (Acute Care)
    1970 HOSPITAL DRIVE
    CLARKSDALE, MS 38614
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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