Provider Demographics
NPI:1093924391
Name:SOLOMON, MICHAEL T (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:T
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHAEL
Other - Middle Name:T
Other - Last Name:HAILEMARIAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5295 PRESERVE PKWY STE 270
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4705
Mailing Address - Country:US
Mailing Address - Phone:205-949-9289
Mailing Address - Fax:205-949-9290
Practice Address - Street 1:5295 PRESERVE PKWY STE 270
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4705
Practice Address - Country:US
Practice Address - Phone:205-949-9289
Practice Address - Fax:205-949-9290
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL34547207Q00000X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine