Provider Demographics
NPI:1831971118
Name:RODRIGUEZ, SULMAN YOJANA (SA-C)
Entity type:Individual
Prefix:
First Name:SULMAN
Middle Name:YOJANA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7945 VILLA CLIFF DR APT 226
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-6331
Mailing Address - Country:US
Mailing Address - Phone:516-667-3372
Mailing Address - Fax:
Practice Address - Street 1:7945 VILLA CLIFF DR APT 226
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-6331
Practice Address - Country:US
Practice Address - Phone:516-667-3372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23-576246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant