Provider Demographics
NPI:1508358789
Name:SOLIMAN, ANDREA MARIA (DO)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:MARIA
Last Name:SOLIMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 631341
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-1341
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:131 COMMONWEALTH DR STE 240
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-5194
Practice Address - Country:US
Practice Address - Phone:864-297-0080
Practice Address - Fax:877-389-6645
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-04
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT018407207R00000X
SC90062207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine