Provider Demographics
NPI:1740203819
Name:SOLEYMANI, ARMAN (MD)
Entity Type:Individual
Prefix:
First Name:ARMAN
Middle Name:
Last Name:SOLEYMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DAVID
Other - Middle Name:
Other - Last Name:SOLEYMANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9200 CALUMET AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2885
Mailing Address - Country:US
Mailing Address - Phone:219-228-4200
Mailing Address - Fax:844-965-9457
Practice Address - Street 1:9200 CALUMET AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2885
Practice Address - Country:US
Practice Address - Phone:219-228-4200
Practice Address - Fax:844-965-9457
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-114913207N00000X
IN01075369A207ND0101X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
I49615Medicare UPIN
ILK25323Medicare ID - Type Unspecified