Provider Demographics
NPI:1750386363
Name:MOHAMMAD SULEMAN, MD APMC
Entity type:Organization
Organization Name:MOHAMMAD SULEMAN, MD APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHMMMAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:SULEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-812-8872
Mailing Address - Street 1:PO BOX 6617
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70009-6617
Mailing Address - Country:US
Mailing Address - Phone:504-712-8872
Mailing Address - Fax:504-712-8879
Practice Address - Street 1:200 W ESPLANADE AVE
Practice Address - Street 2:STE 312
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2474
Practice Address - Country:US
Practice Address - Phone:504-712-8872
Practice Address - Fax:504-712-8879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA05448R208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1737709OtherECFMG
LA1315371Medicaid
LA1315371Medicaid
1737709OtherECFMG