Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Physician Practice of Madison, PC

Specialist in Vicksburg, MS · enumerated 2016 · authorized official Shahjahan Sultan, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114476389

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Registry record

Entity type Organization (Type 2)

Legal business name Physician Practice of Madison, PC

Other name <Unavail>

Practice address 1111 N Frontage Rd Fl 2, Vicksburg, MS, 39180

Phone (412) 721-2417

Fax (601) 510-2367

Enumeration date Sep 28, 2016

Last updated in NPPES Sep 28, 2016

Taxonomy & classification

174400000X Specialist Other Service Providers · License 21500 (MS) Primary

Authorized official

Name Shahjahan Sultan

Title Ceo

Phone (412) 721-2417

Other identifiers

Identifier	Type	State	Issuer
04377714	Medicaid	MS	-
351416	Other	MS	MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-09-28. Verify at npiregistry.cms.hhs.gov.

Where is Physician Practice of Madison, PC located?

The practice location on file with NPPES is in Vicksburg, MS.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-28.