Provider Demographics
NPI:1225069545
Name:SOLIMAN, SHAHINAZ (MD)
Entity Type:Individual
Prefix:
First Name:SHAHINAZ
Middle Name:
Last Name:SOLIMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3445 PACIFIC COAST HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6658
Mailing Address - Country:US
Mailing Address - Phone:310-530-7244
Mailing Address - Fax:310-530-7344
Practice Address - Street 1:3445 PACIFIC COAST HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6658
Practice Address - Country:US
Practice Address - Phone:310-530-7244
Practice Address - Fax:310-530-7344
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA80368207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH98195Medicare UPIN
CAA80368Medicare ID - Type Unspecified