Provider Demographics
NPI:1528357639
Name:SOLEYMAN-ZOMALAN, EMIL (MD)
Entity Type:Individual
Prefix:
First Name:EMIL
Middle Name:
Last Name:SOLEYMAN-ZOMALAN
Suffix:
Gender:M
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:DEPT 960349
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73196-0349
Mailing Address - Country:US
Mailing Address - Phone:405-844-1830
Mailing Address - Fax:405-341-9217
Practice Address - Street 1:801 W INTERSTATE 20
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-5851
Practice Address - Country:US
Practice Address - Phone:817-472-3400
Practice Address - Fax:405-844-1794
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP8417207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX352356ZJUSMedicare PIN
TX352356YV3QMedicare PIN