Provider Demographics
NPI:1437293966
Name:AFROOZ, SULTANA JAHAN (DO)
Entity type:Individual
Prefix:DR
First Name:SULTANA
Middle Name:JAHAN
Last Name:AFROOZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8808 CENTRE PARK DR STE 301
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2224
Mailing Address - Country:US
Mailing Address - Phone:301-970-9724
Mailing Address - Fax:
Practice Address - Street 1:8808 CENTRE PARK DR STE 301
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2224
Practice Address - Country:US
Practice Address - Phone:301-970-9724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH67624207Q00000X
PAOS012862207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine