Provider Demographics
NPI:1376772087
Name:SULIMAN, SULIMAN A
Entity Type:Individual
Prefix:
First Name:SULIMAN
Middle Name:A
Last Name:SULIMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 W. CHANDLER BLVD
Mailing Address - Street 2:SUITE 2385
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-2506
Mailing Address - Country:US
Mailing Address - Phone:480-516-8522
Mailing Address - Fax:
Practice Address - Street 1:777 W. CHANDLER BLVD
Practice Address - Street 2:SUITE 2385
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-2506
Practice Address - Country:US
Practice Address - Phone:480-516-8522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor