Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aqfa Sultana

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700076940

Aqfa Sultana is a Family Practice in Jackson, Mississippi. Qualified in 1999, 27 years ago. Practices with Central Mississippi Civic Improvement Association, Inc, a 50-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
27
Licensed in
MS
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

3502 W Northside Dr
Jackson, MS 39213-4454
Phone: (601) 364-5142
Fax: (601) 364-5159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 21234 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700076940
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2007
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020
Mailing address3502 W Northside Dr, Jackson, MS 39213-4454

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Central Mississippi Civic Improvement Association, Inc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson