Provider Demographics
NPI:1386629731
Name:SOLIMAN, MICHAEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:SOLIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:612 W DUARTE RD
Mailing Address - Street 2:#803
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-9249
Mailing Address - Country:US
Mailing Address - Phone:626-446-4659
Mailing Address - Fax:626-446-8731
Practice Address - Street 1:612 W DUARTE RD
Practice Address - Street 2:#803
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-9249
Practice Address - Country:US
Practice Address - Phone:626-446-4659
Practice Address - Fax:626-446-8731
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA38897207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1053567594OtherCORPORATION NPI
CA954515914OtherFEDERAL TAX I D CORP
CA1386629731OtherNPI
954182315OtherNON INC
CAA00A38897Medicaid
CA1053567594OtherNPI
954515914OtherTIN CORP INC
CA954515914OtherFEDERAL TAX I D CORP
CAA85204Medicare PIN
1053567594OtherCORPORATION NPI
CAA00A38897Medicaid