Provider Demographics
NPI:1952377160
Name:SULIMAN, NABIL (MD)
Entity Type:Individual
Prefix:
First Name:NABIL
Middle Name:
Last Name:SULIMAN
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 1:20280 MIDDLEBELT RD
Mailing Address - Street 2:STE 500
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-2002
Mailing Address - Country:US
Mailing Address - Phone:248-987-1270
Mailing Address - Fax:248-987-1271
Practice Address - Street 1:20280 MIDDLEBELT RD
Practice Address - Street 2:STE 500
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-2002
Practice Address - Country:US
Practice Address - Phone:248-987-1270
Practice Address - Fax:248-987-1271
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301059286207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI103437294Medicaid
MI103437294Medicaid
G12371Medicare UPIN