Provider Demographics
NPI:1043740525
Name:SOULEYE, RACHID (DO)
Entity Type:Individual
Prefix:DR
First Name:RACHID
Middle Name:
Last Name:SOULEYE
Suffix:
Gender:M
Credentials:DO
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 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-344-5555
Mailing Address - Fax:812-344-5554
Practice Address - Street 1:4123 OLYMPIC BLVD
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-3508
Practice Address - Country:US
Practice Address - Phone:859-301-2999
Practice Address - Fax:859-301-2997
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-15
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101023132207V00000X
KY049342083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology