Provider Demographics
NPI:1043442486
Name:ALHASSAN, SULAIMAN (MD)
Entity Type:Individual
Prefix:
First Name:SULAIMAN
Middle Name:
Last Name:ALHASSAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 321061
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48232-1061
Mailing Address - Country:US
Mailing Address - Phone:313-966-3075
Mailing Address - Fax:313-966-4498
Practice Address - Street 1:6071 W OUTER DRIVE
Practice Address - Street 2:PULMONARY DEPT
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-2624
Practice Address - Country:US
Practice Address - Phone:313-966-3075
Practice Address - Fax:313-966-4498
Is Sole Proprietor?:No
Enumeration Date:2009-08-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301094246207R00000X
PAMT206952390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program