Provider Demographics
NPI:1881898716
Name:SULEMAN, LUBNA NOREEN (MD)
Entity type:Individual
Prefix:
First Name:LUBNA
Middle Name:NOREEN
Last Name:SULEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LUBNA
Other - Middle Name:
Other - Last Name:NOREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:716 S WEBSTER AVE
Mailing Address - Street 2:APT. 108
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-7315
Mailing Address - Country:US
Mailing Address - Phone:559-709-3278
Mailing Address - Fax:
Practice Address - Street 1:16001 W NINE MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075
Practice Address - Country:US
Practice Address - Phone:248-849-3073
Practice Address - Fax:248-849-5380
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301089749208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery