Provider Demographics
NPI:1679682652
Name:KHALEDY SULTAN, ABDULRAHMAN (MD)
Entity type:Individual
Prefix:DR
First Name:ABDULRAHMAN
Middle Name:
Last Name:KHALEDY SULTAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11706 DARLINGTON AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-5517
Mailing Address - Country:US
Mailing Address - Phone:310-613-5566
Mailing Address - Fax:
Practice Address - Street 1:11706 DARLINGTON AVE APT 202
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-5517
Practice Address - Country:US
Practice Address - Phone:310-613-5566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62946207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine