person
Aqfa Sultana
Adult Medicine Physician in Jackson, Mississippi
NPI 1700076940

Aqfa Sultana is an Adult Medicine Physician based in Jackson, MS and is specialized in Adult Medicine. Aqfa Sultana practices in Jackson, MS. The NPI Number for Aqfa Sultana is 1700076940 and holds a License No. (Mississippi).

The current practice location address for Aqfa Sultana is 3502 W Northside Dr, Jackson, MS and can be reached out via phone at 601-364-5142 and via fax at 601-364-5159.

Location: 3502 W Northside Dr, Jackson, MS, 39213-4454
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Provider Profile Details
NPI Number
1700076940
Provider Name
Aqfa Sultana
Credential
Provider Entity Type
Individual
Gender
Female
Address
3502 W Northside Dr, Jackson, MS, 39213-4454
Phone Number
601-364-5142
Fax Number
601-364-5159
Provider Enumeration Date
07/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07331261 05 MS
09964 05 LA
institution
Provider Business Practice Location Address Details
Address
3502 W Northside Dr
City
State
Zip
39213-4454
Phone Number
601-364-5142
Fax Number
601-364-5159
person
Provider Business Mailing Address Details
Address
3502 W Northside Dr
City
State
Zip
39213-4454
Phone Number
601-364-5142
Fax Number
601-364-5159
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
21234 (Mississippi)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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