Provider Demographics
NPI:1619969128
Name:SULTANA, MEHER (MD)
Entity type:Individual
Prefix:DR
First Name:MEHER
Middle Name:
Last Name:SULTANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 4334
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-0334
Mailing Address - Country:US
Mailing Address - Phone:732-707-6543
Mailing Address - Fax:732-707-6546
Practice Address - Street 1:1308 MORRIS AVE STE 202
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083
Practice Address - Country:US
Practice Address - Phone:732-707-6543
Practice Address - Fax:732-707-6546
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA76170207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJI35252Medicare UPIN