Provider Demographics
NPI:1346492931
Name:MAGDY R. SOLIMAN MD
Entity Type:Organization
Organization Name:MAGDY R. SOLIMAN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MAGDY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SOLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-429-8000
Mailing Address - Street 1:9673 SIERRA AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335-2424
Mailing Address - Country:US
Mailing Address - Phone:909-429-8000
Mailing Address - Fax:
Practice Address - Street 1:9673 SIERRA AVE
Practice Address - Street 2:SUITE E
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-2424
Practice Address - Country:US
Practice Address - Phone:909-429-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A460520OtherMEDICARE PTAN