DR. SULTAN MOHIUDDIN (NPI# 1740367242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740367242 |
| Entity Type | Individual |
| Full Name | DR. SULTAN MOHIUDDIN |
| Credential | M.D |
| Practice Address |
300 E Main St Smithtown NY 11787-2900 |
| Practice Telephone | 6319790212 |
| Practice Fax Number | 6319790237 |
| Mailing Telephone | 6319790212 |
| Mailing Fax Number | 6319790237 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
113629 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
300 E MAIN ST |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215560776 | Smithtown Family Health Np PC | Nurse Practitioner | 300 E Main St, Smithtown, NY 11787-2900 | 2020-02-12 |
| 1295130201 | Vanessa Forbes | Audiologist | 300 E Main St, Smithtown, NY 11787-2900 | 2014-11-03 |
| 1740552942 | Branch Pediatrics and Adolescent Group P.C. | Pediatrics | 300 E Main St, Suite 4/5, Smithtown, NY 11787-2900 | 2012-02-02 |
| 1215266515 | Judith Murphy | Nurse Practitioner | 300 E Main St, Suite 5, Smithtown, NY 11787-2900 | 2009-12-15 |
| 1306088067 | Michael Robert Stern | Pediatrics | 300 E Main St, Suite 5, Smithtown, NY 11787-2900 | 2009-03-27 |
| 1588803852 | Robin Mitrani | Audiologist | 300 E Main St, Smithtown, NY 11787-2900 | 2009-02-11 |
| 1588802292 | Long Island Vascular and Endovascular Surgery PC | Surgery | 300 E Main St, Suite 2, Smithtown, NY 11787-2900 | 2009-02-03 |
| 1114178902 | Yvonne A Mudaro | Audiologist | 300 E Main St, Smithtown, NY 11787-2900 | 2008-10-10 |
| 1427210244 | Sultan Mohiuddin Md PC | Specialist | 300 E Main St, Suite 2, Smithtown, NY 11787-2900 | 2008-07-02 |
| 1255531000 | Mary Ann Flynn Gameng | Pediatrics | 300 E Main St, Suite 5, Smithtown, NY 11787-2900 | 2007-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588802292 | Long Island Vascular and Endovascular Surgery PC | Surgery | 300 E Main St, Suite 2, Smithtown, NY 11787-2900 | 2009-02-03 |
| 1992884092 | Rashid J Khan Vascular Surgery PC | Surgery | 48 Route 25a, Ste 102, Smithtown, NY 11787-1431 | 2006-11-02 |
| 1275612384 | Sultan Mohiuddin, Md | Surgery | 300 E Main St, Smithtown, NY 11787-2900 | 2006-11-02 |
| 1184654295 | Rashid Javed Khan | Surgery | 48 Route 25a, #102, Smithtown, NY 11787-1431 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1073128971 | New York Vascular Group, Pllc | Surgery | 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 | 2020-09-09 |
| 1578190179 | Camilo Jose Martinez | Surgery | 23 S Howell Ave Ste H, Centereach, NY 11720-4445 | 2020-03-24 |
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 1487287975 | Syracuse Professional Medical Services of New York LLC | Surgery | 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 | 2020-02-13 |
| 1457983181 | Syracuse Medical of New York LLC | Surgery | 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 | 2020-02-11 |
| 1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.