Provider Demographics
NPI:1033449038
Name:SULAIMAN, TASNEEM (MD)
Entity Type:Individual
Prefix:
First Name:TASNEEM
Middle Name:
Last Name:SULAIMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TASNEEM
Other - Middle Name:
Other - Last Name:RAMCHANDRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2029 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-4720
Mailing Address - Country:US
Mailing Address - Phone:516-352-7828
Mailing Address - Fax:
Practice Address - Street 1:2029 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-4720
Practice Address - Country:US
Practice Address - Phone:516-352-7828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY130099207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine