Basic Information
| Provider Information | |||||||||
| NPI: | 1437472826 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ABDULBASET SULAIMAN MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 46591 ROMEO PLANK RD | ||||||||
| Address2: | SUITE 137 | ||||||||
| City: | MACOMB | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480445742 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5862266226 | ||||||||
| FaxNumber: | 5862266269 | ||||||||
| Practice Location | |||||||||
| Address1: | 46591 ROMEO PLANK RD | ||||||||
| Address2: | SUITE 137 | ||||||||
| City: | MACOMB | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480445742 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5862266226 | ||||||||
| FaxNumber: | 5862266269 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2010 | ||||||||
| LastUpdateDate: | 03/12/2010 | ||||||||
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| AuthorizedOfficialLastName: | SULAIMAN | ||||||||
| AuthorizedOfficialFirstName: | ABDULBSET | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2483464402 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 4301065623 | MI | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | 207U00000X | 4301065623 | MI | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Nuclear Medicine | 2085N0904X | 4301065623 | MI | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Nuclear Radiology | 207UN0901X | 43010656623 | MI | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Nuclear Medicine | Nuclear Cardiology |
No ID Information.