Provider Demographics
NPI:1659464725
Name:SULEMAN, KAUSAR (MD)
Entity Type:Individual
Prefix:
First Name:KAUSAR
Middle Name:
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:PO BOX 58835
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8835
Mailing Address - Country:US
Mailing Address - Phone:281-333-1062
Mailing Address - Fax:281-335-4529
Practice Address - Street 1:400 MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4235
Practice Address - Country:US
Practice Address - Phone:281-316-6501
Practice Address - Fax:281-335-4529
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9183207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8388N8Medicare ID - Type Unspecified
TX8L0500Medicare PIN
TXG41798Medicare UPIN