Aqfa Sultana (NPI# 1700076940, PAC ID# 9234311440) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700076940 |
| PAC ID by PECOS | 9234311440 |
| Professional Enrollment ID | I20110309000757 |
| Full Name | Aqfa Sultana |
| Organization Legal Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Address |
129 White Oak St Utica MS 39175-8803 |
| Phone Number | 6018856021 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4183533235 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250031 | MERIT HEALTH RIVER REGION |
| Address | Phone | Organization |
|---|---|---|
| 3502 W Northside Dr, Jackson, MS 39213-4454 | 6013625321 | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| 129 White Oak St, Utica, MS 39175-8803 | 6018856021 | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| 1203 Mission Park Dr, Vicksburg, MS 39180-3747 | 6016348850 | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Organization Legal Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaleen D Sims | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Ericia Latrice Cannon | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 145 Raymond Rd, Jackson, MS 39204-3802 |
| Latoya P Johnson | Physician Assistant | Central Mississippi Civic Improvement Association, Inc | 550 Caldwell Dr, Hazlehurst, MS 39083-2304 |
| Elaine Hargrove | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 327 S Gallatin St, Jackson, MS 39203-3514 |
| Lashondra J Farmer-whitlock | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 1860 Chadwick Dr, Suite 254, Jackson, MS 39204-3472 |
| Tesia Shani Hall-hill | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Willie J Lewis Sr. | Podiatry | Central Mississippi Civic Improvement Association, Inc | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 |
| Bob Hutchins | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Kevin Galloway | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Candice L Coleman | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Street Address |
129 WHITE OAK ST |
| City | UTICA |
| State | MS |
| Zip | 39175-8803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tesia Shani Hall-hill | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Bob Hutchins | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Kevin Galloway | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Candice L Coleman | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Samuel F Brown | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Lisa J Oswalt | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Rita Gordon | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Gwendolyn Bussa | Certified Nurse Midwife (cnm) | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Sherquita Johnson-banks | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Sirna Musa | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel Flynt | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Linda D Johnson | Optometry | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Tammie Tillman | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Melissa Minor | Physician Assistant | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Ayanna K Jenkins | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Debra Rice | Emergency Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Ava Christian | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Nusrat Khansur | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Felix Taylor | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Lakendria Zollicoffer | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Find all physicians in zip 39175 | |||
| City | UTICA |
| Zip Code | 39175 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | UTICA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Aqfa Sultana.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.