Provider Demographics
NPI:1396955795
Name:SULEMAN, M-IRFAN (MD)
Entity type:Individual
Prefix:DR
First Name:M-IRFAN
Middle Name:
Last Name:SULEMAN
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 1:6224 TOWER OAKS BLVD.
Mailing Address - Street 2:#200
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-5095
Mailing Address - Country:US
Mailing Address - Phone:502-386-2444
Mailing Address - Fax:240-240-9141
Practice Address - Street 1:3206 TOWER OAKS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4253
Practice Address - Country:US
Practice Address - Phone:240-240-9141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD80521207LP2900X, 208000000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics