Provider Demographics
NPI:1528265147
Name:SULTAN, AYA (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:AYA
Middle Name:
Last Name:SULTAN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 FORT STREET MALL
Mailing Address - Street 2:SUITE 1040
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3721
Mailing Address - Country:US
Mailing Address - Phone:808-638-3100
Mailing Address - Fax:808-638-3400
Practice Address - Street 1:900 FORT STREET MALL
Practice Address - Street 2:SUITE 1040
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3721
Practice Address - Country:US
Practice Address - Phone:808-638-3100
Practice Address - Fax:808-638-3400
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4560390200000X
CAA104822207V00000X
HI14778207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program