Provider Demographics
NPI:1437318227
Name:SULEMAN, TASNEIM Z (MD)
Entity Type:Individual
Prefix:
First Name:TASNEIM
Middle Name:Z
Last Name:SULEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GUADALUPE ST
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-1009
Mailing Address - Country:US
Mailing Address - Phone:504-712-8872
Mailing Address - Fax:504-712-8879
Practice Address - Street 1:200 W ESPLANADE AVE STE 312
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2474
Practice Address - Country:US
Practice Address - Phone:504-712-8872
Practice Address - Fax:504-712-8879
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA05529R174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist